July 2024

Diabetic peripheral neuropathy is a common issue for individuals with type 2 diabetes, with nearly half experiencing this complication. This condition arises when prolonged high blood sugar levels cause damage to the nerves, especially in the feet and lower legs. Symptoms of peripheral neuropathy include numbness, tingling, burning sensations, and muscle weakness, which can progressively disrupt daily activities. A significant concern is “diabetic foot,” where the loss of feeling and poor blood flow can lead to ulcers, infections, and in severe cases loss of limb. Diabetic neuropathy also can increase the risk of falls and fractures due to lack of sensation in the feet, impaired balance and reduced coordination. Factors such as smoking, high blood pressure, obesity, and cholesterol issues can further increase the risk of developing this diabetic peripheral neuropathy. Early detection and proper management are of extreme importance. If you notice unusual sensations in your feet or lower legs, especially persistent numbness or pain, it is suggested that you make an appointment with a podiatrist who can conduct a thorough examination and recommend a personalized treatment plan. 

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in 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 for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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.

Ingrown toenails in children often result from improper nail trimming, wearing tight footwear, or injury. When nails are cut too short or rounded at the edges, they can grow into the surrounding skin, leading to pain, swelling, and sometimes infection. Tight shoes or socks can put pressure on the toes, encouraging the nails to grow inward. Additionally, stubbing a toe or repeated trauma from activities like running can contribute to the problem. To prevent ingrown toenails, ensure that children wear properly fitting shoes and socks that provide enough room for their toes. Trim their nails straight across and avoid cutting them too short. Encouraging children to be cautious during physical activities can also help reduce the risk of injury to their toenails. If you suspect your child has an ingrown toenail, it is suggested that you consult a podiatrist.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, 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.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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 injuries while running are common and can be caused by several factors. Overtraining often leads to fatigue, increasing the risk of improper form and accidents. Muscle strains can occur from inadequate warm-ups or sudden increases in intensity. Wearing the wrong shoes, especially those lacking proper support, can lead to instability and misalignment. To prevent these injuries, it is essential to incorporate rest days into your training schedule to allow muscles to recover. Ensuring a thorough warm-up before running can prepare muscles and reduce the risk of strains. Investing in high-quality running shoes that provide adequate support and cushioning is essential for maintaining proper form and stability. Listening to your body and avoiding pushing through pain can also help prevent serious injuries. If you have sudden or chronic ankle pain from running, it is suggested that you visit a podiatrist who can effectively treat this condition.

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.

Diabetic foot ulcers are open sores or wounds that commonly occur on the feet of individuals with diabetes. They generally result from a combination of neuropathy, poor circulation, and immune system impairment. Neuropathy causes a loss of sensation, leading to unnoticed injuries. Poor circulation hinders healing, while immune dysfunction makes infections more likely. These ulcers can become severe, leading to complications such as infections, gangrene, or even amputations if left untreated. Management of diabetic foot ulcers includes comprehensive wound care, infection control, and addressing underlying conditions. Regular cleaning and debridement to remove dead tissue can promote healing. Antibiotics may be prescribed to combat infection. Additionally, offloading techniques, such as specialized footwear or orthotics, help reduce pressure on the ulcer. Controlling blood sugar levels is imperative to generate healing and prevent recurrence. Regular monitoring and care are essential for effective management. If you have diabetic foot ulcers, it is strongly suggested that you visit a podiatrist for personalized treatment and prevention strategies.

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.

Working on your feet while pregnant presents unique challenges that require special attention to maintain comfort and health. Although standing all day is generally thought to be safe for most pregnant women, taking breaks to sit or move around can significantly ease the strain on your body. That said, if you are at a high risk of preterm delivery or have concerns about your baby's growth, it is essential to avoid prolonged standing. For those who need to stand for extended periods, positioning and movement are important to note. Keep your knees soft, space your legs apart, and engage your core muscles to reduce pressure on the knees and feet. Periodically move your legs by walking or shifting weight to help maintain blood circulation and minimize swelling. Elevating one foot on a low stool can also alleviate lower back stress. Comfortable footwear with good arch support and a low heel is essential, in addition to wearing compression socks to enhance blood flow and reduce swelling. If you experience foot pain or unusual swelling after working on your feet, it is suggested that you schedule an appointment with a podiatrist for an exam and options for treatment.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Genine Befumo, DPM from University Foot and Ankle Center, L.L.C. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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.