Debridement plays a vital role in the management of chronic wounds, such as diabetic foot ulcers. It involves the removal of necrotic tissue, foreign debris, bacterial growth, calluses, and non-responsive cells from the wound area, promoting the transition from a non-healing to a healing environment. Various methods are employed for debridement, including surgery, chemical approaches, natural enzyme methods, and biochemical processes. In the case of diabetic foot ulcers, callus buildup, a consequence of repeated pressure or friction, can exacerbate ulcer formation by creating areas of high plantar pressure. Hence, debridement of calluses is not only relevant for treatment but also in preventing these ulcers. If you have foot wounds, it is strongly suggested that you schedule an appointment with a podiatrist for an examination and discussion of appropriate treatment, which may include debridement.

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 David Carmack, DPM from Texas. 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 Marble Falls, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Fungal nail infections, which are known as onychomycosis, are widespread and can affect up to 14 percent of the general population, with toenail infections being more common than fingernails. While usually not severe, they can cause discomfort and affect nail appearance. Symptoms include nail discoloration, thickening, fragility, and separation from the nail bed. Often, fungal toenail infections coincide with fungal skin infections on the foot, such as athlete's foot. These infections result from various environmental fungi entering small cracks in nails or surrounding skin. While anyone can get them, certain factors increase susceptibility, such as nail injuries, diabetes, and weakened immune systems. Prevention measures involve keeping hands and feet clean and dry, maintaining short, clean nails, and avoiding walking barefoot in public areas. Diagnosis requires laboratory testing, with podiatrists typically collecting nail clippings for microscopic examination or laboratory analysis. Effective treatment often involves prescription anti-fungal pills, initiated early. Severe cases may require nail removal. Recurrence is possible, especially in those with underlying health conditions, necessitating prompt attention if symptoms return. If you have toenail fungus, it is suggested that you schedule an appointment with a podiatrist for a prompt evaluation and the correct treatment method.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact David Carmack, DPM of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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

Plantar warts, small growths caused by the human papillomavirus, or HPV, often appear on the soles of the feet. Unlike common warts, which typically grow on the hands, plantar warts can be painful due to the pressure exerted on the soles when walking or standing. These warts may have a rough, grainy appearance with tiny black dots, which are actually clotted blood vessels. Several risk factors increase the likelihood of developing plantar warts. Close contact with the virus, such as walking barefoot in damp and communal areas like locker rooms, swimming pools, or public showers, can put your feet at risk. Additionally, those with a weakened immune system, such as individuals with diabetes or HIV, are more susceptible to plantar warts. Constantly moist or sweaty feet can provide an ideal environment for the virus to thrive. If you have developed a plantar wart, it is strongly suggested that you consult a podiatrist who can provide relief with appropriate treatment methods.

Plantar warts can be very uncomfortable. If you need your feet checked, contact David Carmack, DPM from Texas. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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

In the demanding realm of the medical profession, where long hours and dynamic tasks are the norm, prioritizing foot protection is paramount for healthcare practitioners. Nurses, doctors, and other medical personnel are constantly on their feet, navigating diverse terrains within clinical settings. The right footwear becomes not only a matter of comfort but a crucial element of occupational safety. Wearing quality, supportive shoes not only cushions the impact of prolonged standing but also guards against potential hazards such as spills or sharp objects. Additionally, healthcare workers often face the risk of exposure to various pathogens, making impermeable and easily cleanable footwear an essential line of defense. Acknowledging the importance of foot protection is a proactive step toward preventing musculoskeletal issues and ensuring the overall well-being of those dedicated to the noble pursuit of healing. If you have questions about specific types of shoes to wear while working in the medical field, it is suggested that you consult a podiatrist who can guide you toward making the right footwear choices.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact David Carmack, DPM from Texas. 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 Marble Falls, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Running enthusiasts often face the challenge of foot and ankle injuries, with plantar fasciitis being a common adversary, constituting approximately 25% of running-related issues. This condition involves inflammation of the thick band of tissue, the plantar fascia, connecting the heel bone to the toes. To mitigate the risk of plantar fasciitis and other foot and ankle injuries, careful consideration of footwear is essential. Choose running shoes with proper arch support and cushioning, as inadequate footwear contributes significantly to plantar fasciitis. Regularly replacing shoes is also needed to maintain their effectiveness. Further, gradual progression in running intensity or distance is vital, as abrupt increases can strain the plantar fascia and lead to injury. Incorporating a pre-run stretching routine targeting the calves, Achilles tendon, and plantar fascia enhances flexibility, reducing the likelihood of injuries. Equally important is a focus on foot strengthening exercises, such as toe curls and resistance band exercises, which contribute to better support and reduce the overall risk of foot and ankle issues. By understanding and addressing these factors, runners can take proactive steps to keep their feet pain-free, ensuring a sustained and enjoyable running experience. If persistent discomfort arises, it is suggested that you schedule an appointment with a podiatrist for personalized guidance on managing plantar fasciitis.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact David Carmack, DPM from Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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