Limb salvage is a procedure that involves saving a lower extremity from amputation. In podiatry, limb amputation often occurs as a result of diabetes. The fundamental goal of limb salvage is to restore and maintain stability and movement of the affected lower extremity.
The procedure typically involves removing the diseased tissue and a small portion of the surrounding healthy tissue, as well as the removal of any affected bone if necessary. If bone is removed it is then replaced with prostheses, or synthetic metal rods or plates, or grafts from either the patient’s body or a donor. Limb salvage is typically the preferred choice of procedure over amputation, as the procedure preserves both the patient’s appearance and allows for the greatest possible degree of function in the affected limb.
Upon diagnosis and determining that limb salvage is the appropriate treatment, the podiatrist may enlist the help of a physical and/or occupational therapist to prepare the patient for surgery by introducing various muscle-strengthening, walking, and range of motion exercises. Such exercises may be continued as rehabilitation post-procedure.
Diabetes-related amputations pose a grave threat to individuals grappling with this chronic condition, but preventive measures can help to reduce this risk. Consistent blood sugar management is essential, and maintaining target levels through a balanced diet, regular exercise, and medication adherence can significantly reduce the likelihood of complications. Routine foot care is equally as vital, as inspecting feet daily for cuts, blisters, or infections and promptly treating any abnormalities can prevent minor issues from escalating. Wearing well-fitted shoes and socks can safeguard against pressure sores and friction-related injuries. Avoiding barefoot walking minimizes exposure to potential hazards. Regular visits to a podiatrist for foot examinations and professional care are imperative for early detection and intervention. Additionally, prioritizing cardiovascular health by managing blood pressure and cholesterol levels aids in preserving overall vascular function, reducing the risk of peripheral artery disease and subsequent amputations. By implementing these preventive strategies, individuals with diabetes can safeguard their feet and minimize the threat of amputations. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can present you with additional information about protecting your feet from amputation.
Diabetic Limb Salvage
Diabetic limb salvage can be an effective way in preventing the need for limb amputation. If you have a foot ulcer and diabetes, consult with one of our podiatrists from Community Foot Specialists. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
What Is Diabetic Limb Salvage?
Diabetic limb salvage is the attempt of saving a limb, such as the foot, that has an infected ulcer, from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.
Diabetes is the number one cause of non-traumatic amputations in the United States. Amputation has been found to lead to higher mortality rates. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.
Diagnosis and Treatment
Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated.
If you have any questions, please feel free to contact our offices located in Beavercreek, Dayton, and Vandalia, OH. We offer the newest diagnostic and treatment technologies for all your foot care needs.
The Achilles tendon is the largest tendon in the body; it is a tough band of fibrous tissue that stretches from the bones of the heel to the calf muscles. This tendon is what allows us to stand on our toes while running, walking, or jumping, it is common for this tendon to become injured. In severe cases, the Achilles tendon may become partially torn or completely ruptured. However, this tendon is susceptible to injury because of its limited blood supply and the high level of tension it endures.
The people who are more likely to suffer from Achilles tendon injuries are athletes who partake in activities that require them to speed up, slow down, or pivot. Consequently, athletes who engage in running, gymnastics, dance, football, baseball, basketball, or tennis are more likely to suffer from Achilles tendon injuries. Additionally, there are other factors that may make you more prone to this injury. People who wear high heels, have flat feet, tight leg muscles or tendons, or take medicines called glucocorticoids are more likely to have Achilles tendon injuries.
A common symptom of an Achilles tendon injury is pain above the heel that is felt when you stand on your toes. However, if the tendon is ruptured, the pain will be severe, and the area may become swollen and stiff. Other symptoms may be reduced strength in the lower ankle or leg area, and reduced range of motion in the ankle. When the Achilles tendon tears, there is usually a popping sound that occurs along with it. People who have acute tears or ruptures may find walking and standing to be difficult.
If you suspect you have injured your Achilles tendon, you should see your podiatrist to have a physical examination. Your podiatrist will likely conduct a series of tests to diagnose your injury including a “calf-squeeze” test. Calf squeeze tests are performed by first squeezing the calf muscle on the healthy leg. This will pull on the tendon and consequently cause the foot to move. Afterward, the same test will be performed on the injured leg. If the tendon is torn, the foot won’t move because the calf muscle won’t be connected to the foot.
Achilles tendon rupture, a distressing injury affecting the tendon at the back of the ankle, can be debilitating and necessitate prompt attention. This critical tendon connects the calf muscles to the heel bone, facilitating movement like walking, running, and jumping. When subjected to excessive force or strain beyond its capacity, the Achilles tendon can tear partially or completely, resulting in a rupture. These types of injuries are frequently observed during activities involving sudden bursts of acceleration, abrupt changes in direction, or inadequate warm-up routines. Athletes, particularly those engaging in sports demanding rapid movements or high-impact activities, are at increased risk. Additionally, factors such as age weakened tendons due to degeneration, improper footwear, and inadequate conditioning contribute to susceptibility. Recognizing the signs and symptoms, including a sudden sharp pain in the heel, swelling, and difficulty walking or pointing toes downward, is vital for early diagnosis. If you have endured an Achilles tendon rupture, it is strongly suggested that you consult a podiatrist who can offer you effective treatment methods.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Community Foot Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.
What Is the Achilles Tendon?
The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.
What Are the Symptoms of an Achilles Tendon Injury?
There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.
Achilles Tendinitis Symptoms
Inflammation
Dull to severe pain
Increased blood flow to the tendon
Thickening of the tendon
Rupture Symptoms
Extreme pain and swelling in the foot
Total immobility
Treatment and Prevention
Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:
Thorough stretching of the tendon before and after exercise
Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses
If you have any questions please feel free to contact our offices located in Beavercreek, Dayton, and Vandalia, OH. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Cuboid syndrome mostly affects athletes, although it can affect non-athletes too. It is also known as cuboid subluxation or cuboid fault syndrome. This condition occurs when joints and ligaments near the cuboid bone of the foot are damaged, or when the cuboid bone itself is dislodged from its natural position. It is usually marked by pain on the outer side of the foot, which may be persistent or may come and go. Cuboid syndrome can be difficult to diagnose unless it becomes severe and more noticeable. Your doctor will likely ask questions about when the pain began and how long it has been present, and will put pressure on the cuboid bone to determine if that area is the origin of the pain.
Causes of Cuboid Syndrome
Any repetitive stresses placed on the foot due to athletic activities are a common cause of cuboid syndrome.
Although it develops over time, it is possible that this syndrome can occur all of sudden due to a single event or injury.
Over-pronation can exacerbate the condition if not corrected.
Some refer to it as the dislocation of the calcaneal-cuboid joint only.
Other podiatrists see it as an injury of the ligaments located nearby, which also involves the cuboid bone.
It is very important that when you experience any kind of pain on the side of your foot, you should seek medical care right away. If a subluxed cuboid is caught early, your feet may respond well to the treatment, and you can get back into sports or other activities again as soon as the pain subsides.
Cuboid syndrome, a lesser-known foot ailment, often eludes mainstream attention. However, its impact can be significant for those affected. This condition occurs when the cuboid bone, situated in the outer midfoot, becomes dislocated or irritated, leading to discomfort and limited mobility. Typically overlooked or misdiagnosed, Cuboid syndrome manifests through symptoms like pain along the outer foot, swelling, and difficulty in bearing weight. One of the perplexing aspects of cuboid syndrome is its elusive nature, often mimicking other foot conditions, complicating accurate diagnosis. It commonly arises from activities involving repetitive stress or sudden trauma to the foot, such as running, dancing, or jumping. Additionally, certain foot structures and gait abnormalities can predispose individuals to this syndrome. Despite its obscurity, recognizing the signs and seeking timely treatment is critical for managing cuboid syndrome effectively. If you have pain in this part of your foot, it is suggested that you consult a podiatrist who can accurately diagnose and treat cuboid syndrome.
Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with one of our podiatrists from Community Foot Specialists. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.
Causes
The most common causes of cuboid syndrome include:
Injury – The most common cause of this ailment is an ankle sprain.
Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.
Symptoms
A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.
Diagnosis
Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.
Treatment
Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.
If you have any questions, please feel free to contact our offices located in Beavercreek, Dayton, and Vandalia, OH. We offer the newest diagnostic and treatment technologies for all your foot care needs.
Ankle foot orthotics are shoe inserts that offer support to control the placement and movement of the ankle, correct deformities, and compensate for weakness. These inserts are used to stabilize the foot and ankle and provide toe clearance during the swing phase of gate.
Athletes often suffer foot problems because their feet are not being supported within the shoe. Ankle and foot orthotics are custom made inserts that alleviate stress on the foot. However custom orthotics should be prescribed by a podiatrist who specializes in customized footwear and orthotics design. These inserts are used by athletes for different reasons. Runners use orthotics to absorb shock at heel contact and to set up the forefoot for push-off. Basketball players wear them to control their forefeet while jumping and running.
The two main types of orthotics are over-the-counter orthotics and custom-made orthotics. To be eligible for custom orthotics, an examination of the foot and ankle will need to be completed. Afterward, both the foot and ankle will need to be casted and fitted for the proper orthotic. When the fitting process is complete, adjustments can be made to make sure everything fits perfectly.
Over the counter orthotics tend to be more popular than custom fit ones. Athletes who have less severe aches and pains in the foot, ankle or lower back area can use the over-the-counter version of orthotics. Unfortunately, over-the-counter orthotics tend to not work in treating severe injuries or ailments. Whenever you suspect you may need an ankle foot orthotic, you should consult with your podiatrist to determine which type of orthotic is right for you.
Flat feet, or pes planus, is a condition where the arches of the feet collapse, resulting in the entire sole of the foot being in contact with the ground. This can lead to various issues such as foot pain, arch strain, heel pain, and even knee, hip, and lower back problems due to altered biomechanics. Custom-made orthotics are often prescribed as a solution for flat feet. These orthotic devices are tailored to the individual's foot structure and biomechanics, providing support and alignment to address the underlying causes of flat feet. There are different types of orthotics available, including rigid orthotics that offer maximum support and control, semi-rigid orthotics that provide a balance between support and flexibility, and soft orthotics that offer cushioning and shock absorption. By correcting foot alignment and redistributing pressure, custom orthotics can alleviate symptoms associated with flat feet, improve foot function, and prevent or minimize the risk of further complications. If you have flat feet and they are interfering with your quality of life, it is suggested that you make an appointment with a podiatrist to see if orthotics can help provide correction and relief.
If you are having discomfort in your feet and would like to try orthotics, contact one of our podiatrists from Community Foot Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.
What Are Orthotics?
Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.
Over-the-Counter Inserts
Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.
Prescription Orthotics
If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.
If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.
If you have any questions please contact our offices located in Beavercreek, Dayton, and Vandalia, OH. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!
Our bones are important aspects of our body and they are constantly changing. The heavier the workload for a bone, the more likely it is that calcium will be placed in it. When a bone isn’t used often, there won’t be much calcium within it. When stress from repetitive loads prevent the bone from being able to repair itself, cracks will start to form. Stress fractures are defined as cracks in a bone that result from repetitive force, such as overuse.
The most common cause of stress fractures is a sudden increase in intensity and duration of physical activity. For example, if you begin to run long distances without working your way into doing so, you will be more likely to develop a stress fracture.
Common symptoms of stress fractures are pain and swelling near the weight bearing area on the injured bone. When initial x-rays are performed, it is possible that the fracture will not show up. However, once the stress on the area continues, the damage will increase, and the fracture will be severe enough to show up on an x-ray. Certain parts of the foot are more likely to develop stress fractures than others. Areas that typically have these fractures are: the metatarsals, the navicular bone, the calcaneus, tibia, and fibula.
Since women are at an increased risk of developing osteoporosis, they are twice as likely as men to sustain a stress fracture. Additionally, old age causes a decrease in bone mineral density which is why elderly people are also likely to develop these fractures.
It is important for you to be professionally diagnosed by a podiatrist if you suspect you have a stress fracture, because there are other injuries that can easily be mistaken for a fracture. Sprains, strains, shin splints, plantar fasciitis, and Morton’s neuroma can all easily be mistaken for stress fractures in the foot. Your podiatrist will likely ask you a series of questions to determine what type of pain you are experiencing. These questions will help your doctor identify whether you have a stress fracture.
The best method of treatment for a stress fracture is rest. Additionally, a walking boot, cast, or crutches, will help rest the area that is injured. The typical healing time for stress fractures is 4-12 weeks, however this depends on which bone is involved.
