Why does my heel hurt?

It will happen to you.  If you ask, it has happened to your friends, neighbors, coworkers.  It’s pain in your heel.  First thing in the morning, you get up, and once your foot hits the floor, you want to fall down and cry.  It is very common, occurs to everyone, and won’t go away by itself.

It is heel pain, or plantar fasciitis.  That morning pain in the heel that makes you hop to the bathroom.  It makes you afraid to get out of the car when you get to work.  It makes you afraid to exercise.  And it hurts!

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10 reasons why you should choose We Treat Feet

The We Treat Feet Podiatry group takes great pride in putting our patients’ feet and needs first. We pride ourselves on our expert clinicians and top-notch customer service.

Here are 10 reasons why you should choose We Treat Feet Podiatry for all your podiatric needs.

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Why does my diabetic foot hurt?

In diabetics, neuropathy is defined as a loss of protective sensation.  The condition occurs in what we call and stocking and glove distribution.  It starts at the distal ends of the toes and fingers, and moves proximally up the foot/hand into the leg/arm.  While there are many causes of peripheral neuropathy, diabetes is the most common.

Neuropathy can occur in several forms.  The most common is sensory neuropathy.  This is a change in the ability of the patient to feel their feet and hands.  Starting in a stocking and glove distribution, a patient will not feel items touching their toes and feet.  Over time, patient can step on objects such as glass shards, nails, or tacks, and will not feel it.  This is a significant risk for infections and amputation.

Neuropathy can also occur as a motor neuropathy.  This is a loss of function in the distal most muscles, and can be combined with sensory neuropathy to be called sensorimotor neuropathy.  The most common examples of this include the development of hammertoes in a neuropathy foot, or ankle contractures causing ulcerations in the ball of the foot.

Lastly, neuropathy can cause an autonomic issue.  This will be symptoms such as a loss of ability to sweat or release oils (also called sebum) from the skin.  This is the type of neuropathy that also involves the cardiovascular system, gastrointestinal system, and genitourinary system.

With loss of sensation and function, patients become higher risk for infections, wounds and amputation.  Daily foot examinations, proper shoe gear, and regular diabetic foot care can prevent many problems.   So that begs the question, if I can’t feel it, why does it hurt?

60-70% of diabetics will eventually suffer from this condition.  The best way to think about it, is to use the telephone as an analogy.  If you are on the phone, and there is static, you can still hear, right?  The more static, the louder you have to yell to have the person on the other end hear you, until eventually there is so much static that you can’t hear anything, and they you hang up.  This is what happens with your nerves.

Each and every nerve in your body is connected directly to your brain.  Millions and millions of individual wires, from every aspect of your body, connected directly to your brain.  As neuropathy advances, the static to your brain increases.  Patients perceive this as neuropathic symptoms, burning, tingling, fire, ices, etc.  The louder the static, the more symptoms, until finally your brain hangs up, and then you have a complete loss of sensation.  This basically means that you can remove portions of your foot without anesthesia and not know it.

Treatments for painful diabetic neuropathy include proper glucose control, diet, exercise, and many different medication options.  You may have even seen a television commercial for Lyrica for example.  There are also sensory feedback options, cold laser and other light treatments, and even surgical options for releasing the nerves.

Best treatment for diabetic Neuropathy is prevention.  Good glucose control, exercise, and preventive foot care are essential.  Treatment once you have symptoms has been successful, but not for everyone.  You may not know you even have it.  The doctors at WeTreatFeet are well versed in this process and can offer you many cutting-edge treatments.  Call today if you want to have t

What is a diabetic foot skin graft?

Open wounds on diabetic feet is a significant and often expensive problem to treat.  Diabetic foot wounds, according to Medscape, direct costs for these specific wounds are   $9-13 million dollars yearly. [1]  While we have many different modalities for treating wounds, one treatment type stands out, skin grafts.

A Cochrane review done in February 2016 indicated that these grafts are effective in increasing healing rates.[2]  However, long term success, and cost effectiveness remains uncertain.  The grafts themselves are expensive, running between a few hundred to a few thousand dollars.  However, the overall cost to the community of diabetic wounds is astronomical.  These range from $11,710 to $16,883 per patient with a foot ulcer. [3]

When one says skin graft, most people naturally are thinking autografts.  These are skin grafts that come from the patient.  Skin, removed from another area such as the thigh, is transplanted over a wound.  This treatment originated 3000 years ago in India.  In 1804, an Italian surgeon, Boronio performed a full thickness graft on a sheep.  However, it was 1823 when Bunger reconstructed a nose with graft that these started to be used on a regular basis in medicine.[4]  While these remain a popular option for burns and traumatic wounds, it has fallen out of favor in diabetic foot wounds due to the high comorbidities, such as graft site infection.  I always tell my own patients that I am not a big fan of making a new wound to fix an old wound.

Allografts are grafts from the same species, placed on a different individual.  We often us a product called Theraskin, which is cadaveric skin.[5]  While this is actual human skin, it doesn’t incorporate as well as autograft, and may require several applications.  Apligraf® is a unique, advanced treatment for healing. It is created from cells taken from fetal foreskin, that are cultured and grown to form healthy human skin.[6]  It is actually alive in a dish when it arrives, and must be applied in a specified time frame, or it will die.

Xenografts are a group of grafts that are made from animal products.  These include fish skins, cow bladder, pig intestine, etc.  These contain collage that is the building blood for skin, and often work as scaffolding, helping wounds heal but providing the building blocks for skin.

The latest groups of grafts are amniotic.  These are grafts made from placenta, umbilical cord, or amniotic sac.  These are harvested at birth, prepared to remove all diseases and viruses, then transplanted into wounds.  These are the grafts that possess stem cells, and help the wound develop its own skin.

Not every wound responds to every treatment, and not all wounds were alike.  The challenge wound care physicians face is using an appropriate graft in the correct situation.  Venous wounds, arterial wounds, traumatic wounds, etc. will respond differently to treatments.  Only a skilled, experienced physician, who deals with large quantities of wounds on a regular basis, can tell you which one of the grafts may be right for your wound.  Due to the high costs of these products, this is critical, because applying the wrong product may actually make the wound worse, delaying healing, increasing the risk of infection or amputation.

If you have questions about your wound, or if you need treatment for a chronic wound, call our experts, and we will do everything we can to prevent complications, reduce amputation risk, and help treat the wound.

 

[1] http://www.medscape.com/viewarticle/821908

[2] http://www.cochrane.org/CD011255/WOUNDS_skin-grafting-and-tissue-replacement-treating-foot-ulcers-people-diabetes

[3] http://www.medscape.com/viewarticle/821908

[4] http://plasticsurgery.stanford.edu/content/dam/sm/plasticsurgery/documents/education/microsurgery/FlapsSelectedReadings.pdf

[5] http://theraskin.com/

[6] http://www.apligraf.com/patient/what_is_apligraf/what_is_apligraf.html

Modern diabetic wound issues

Diabetic foot wounds are among the most common complications of diabetes, and are some of the more difficult conditions to treat.  In the USA, yearly, approximately 8% of diabetic Medicare beneficiaries have a foot ulcer.  When these occur, 1.8% of these patients will have an amputation. These are further elevated for patients with lower extremity peripheral artery disease.[i]  The costs of diabetic foot ulcerations range from $12,211 for hospitalizations without amputation, to $34,671 for patients requiring an amputation.[ii]

It is fairly simple to understand why prevention of the first wound or amputation is so crucial.  Somewhere between 50-79% of people hospitalized with a diabetic foot infection will be either unable to work, or unemployed after the episode.[iii]  These events, while often not life threatening, (can become so if not treated) can have significant influences on entire households.  This includes children and spouses.

In our practice, we have a comprehensive policy for diabetic foot prevention.  The first and most important step is education.  I often get asked during new diabetic evaluation questions related to when foot loss or lower extremity amputation will occur (as most of these patients have friends or family members who have had an amputation).  My answer is always the same.  While we can’t prevent every amputation, most are probably avoidable with simple steps.  The American College of Foot and Ankle Surgeons has set specific guidelines for diabetic foot care.  These include:

  • Inspect your feet daily
  • Bathe feet in lukewarm, never hot, water
  • Be gentle when bathing your feet.
  • Moisturize your feet but not between your toes.
  • Cut nails carefully.
  • Never treat corns or calluses yourself.
  • Wear clean, dry socks.
  • Consider socks made specifically for patients with diabetes. Wear socks to bed. Shake out your shoes and feel the inside before wearing.
  • Keep your feet warm and dry. Never walk barefoot.
  • Take care of your diabetes.
  • Don’t smoke.
  • Get periodic foot exams. [iv]

In our office, we make sure that all diabetics start out with a yearly diabetic foot examination.  This assumes no known preexisting conditions for example vascular disease, neuropathy, or deformities.  As risk factors increase, so do visit frequency.  The range can be from twice yearly all the way up to weekly.  Our doctors know how to evaluate and treat these problems, and have strategies to prevent wounds.

If you have a wound, all is not lost.  First, make sure you get this checked by a qualified physician as soon as possible. Tomorrow is never advisable.  Second, I always tell patients that this is a 2 step process; first is getting the wound healed, second is keeping the wound healed.  The rate of re-ulceration is reported as high as 35–40% over 3 years, and that increasing to 70% over the 5years after the first wound.[v]  Five-year mortality rates after a diabetic foot ulceration have been reported to be between 43 and 55 percent, and can be as high as 74 percent in patients with lower-extremity amputation.[vi]  Prevention is crucial to longevity of patients with diabetes.

Our internal ulceration and amputation rates are much lower than the average throughout the country.  If you are diabetic, even if you have no complications, get your feet checked today.  It may save your life.  Our doctors offer same day and next day appointments, and we provide night and weekend coverage at several area hospitals.

 

 

 

[i] https://effectivehealthcare.ahrq.gov/topics/diabetes-foot-ulcer-amputation-prevalence/research/

[ii] Barshes 2012; Barshes 2014

[iii] Van Acker K, et al., 2014; Hogg FRA, et al., 2012; GoodridgeD, et al. 2005

[iv] http://www.acfas.org/footankleinfo/diabetic-guidelines.htm

[v] http://www.woundsinternational.com/media/other-resources/_/1097/files/dfj12-4-181-6.pdf

[vi] http://barefoot-science.com/pages/diabetes/

What is the diabetic foot?

If you have diabetes, one of the most common issues and concerns is your foot.  Your foot is a complex structure consisting of 26 bones, 33 joints, and 120 muscles/ligaments/nerves[1].  Each structure has a unique purpose, and diabetes can causes alternation in function for any of them.

The most common problem we see in diabetics is diabetic peripheral neuropathy.  This is nerve damage that is a result of elevated glucose that is the root cause of all other diabetic foot problems.  With neuropathy, there are 3 main types; Sensory, Autonomic, and Motor.  While most people have an understanding of the loss of sensation associated with sensory neuropathy, the other two types can cause significant problems, and must be considered in any article about the diabetic foot.

Autonomic nervous system is part of your body responsible for involuntary action.  These are things like your heart beat, dilation and constrictions of the blood vessels, and secretion of natural skin oils, called sebum.  [2]  In the diabetic foot, these cause changes in the flow of blood to the foot, the amount of sweat your foot can produce, and how fast the blood flows.  These symptoms develop over years of disease progression, and the progression is enhanced under poorly controlled glucose levels.[3]

Motor neuropathy is a progressive loss of muscle tone and strength.  This results in weakness and muscle atrophy.  Most common in the upper and lower extremities, symptoms include cramping, twitching, and muscle wasting.  As in sensory and autonomic neuropathy, diabetes is a common cause, but other factors can contribute to each of these problems.  [4]  Motor neuropathy is the cause for problems associated with progressive hammertoe and bunion deformities.

When diabetes causes complications to your foot, it is related to each one of these types of neurologic conditions.  Sensory loss creates a situation where you can’t feel your foot.  Autonomic changes allow skin to become dry, atrophic, and easily damaged.  Motor neuropathy causes changes in the foot shape and mechanics, increasing pressure points, leading to the development of musculoskeletal imbalance.

I always tell my patients that when it comes to diabetes, if you live long enough, you are subject to all of these problems.  That being said, the better controlled your diabetes is, the longer and slower these symptoms progress, and the less likely to result in an infection, ulceration, or amputation.  Good quality foot care, proper shoes, glycemic control, and some education can go a long way in preventing loss of limb or life, a problem that occurs 73,000 times a year.[5]  This number is more than half of what it was 20 years ago due to proper education and better understanding of these problems.

 

[1] http://www.nytimes.com/health/guides/symptoms/foot-pain/print.html

[2] https://medlineplus.gov/autonomicnervoussystemdisorders.html

[3] https://medlineplus.gov/ency/article/000776.htm

[4] https://rarediseases.info.nih.gov/diseases/11011/multifocal-motor-neuropathy

[5] http://www.healthline.com/health/diabetes/diabetes-amputation#is-it-needed2

VIDEO: Dr. Daniels’ patient recalls limb-saving treatment provided by We Treat Feet

In Northwest Hospital’s Gala video, a patient of We Treat Feet’s Dr. Mike Daniels recalls the procedure that ended up saving him his foot. The patient had a very serious condition which combined with his diabetes would have required amputation for most patients without the aggressive treatment provided by Dr. Daniels and his colleagues at Northwest Hospital.

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Diabetes and podiatry; what’s the connection?

Foot complications in diabetes are common yet the link between the two is not very well-known. Here to tell us more about it ahead of World Diabetes Day on 14 November is specialist and author for Journal of Foot and Ankle Research Trevor Prior, with colleague Debbie Coleman.

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Report: FDA Strengthens NSAIDs Warnings

The US Food and Drug Administration (FDA) is strengthening an existing label warning that non-aspirin nonsteroidal anti-inflammatory drugs (NSAIDs) increase the chance of a heart attack or stroke.

Based on the FDA’s review of new safety information, it is now requiring updates to the drug labels of all prescription NSAIDs.

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