Why Some Diabetic Foot Ulcers Refuse to Heal

Diabetic foot ulcers can be frustrating because they often linger, even with careful treatment. High blood sugar slows healing by damaging blood vessels and reducing oxygen flow to the skin. Nerve damage can also play a role, since patients may not feel pressure or injury, allowing wounds to worsen unnoticed. Infection is another common factor that keeps ulcers from closing. Poor circulation in the lower legs and feet further limits the body’s ability to repair tissue. Inconsistent offloading, such as walking on the wound, can delay progress as well. Effective care usually requires a combination of wound cleaning, pressure relief, blood sugar control, and sometimes advanced therapies. Regular monitoring is important to catch changes early. If a foot ulcer is not improving or keeps returning, it is strongly suggested that you see a podiatrist for a proper diagnosis and timely treatment.

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 one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors 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 contact one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Exercises That Help Support Flexible Flat Feet

Flexible flat feet occur when the arch of the foot appears normal while sitting, but flattens when standing or walking. This type of foot structure can place extra strain on muscles, tendons, and ligaments that support the arch. Strengthening the small muscles of the feet and ankles may help improve alignment and stability. One helpful exercise is the towel curl. Place a towel on the floor and use your toes to slowly scrunch it toward you while keeping the heel on the ground. Another effective movement is the short foot exercise, which gently lifts the arch by drawing the ball of the foot toward the heel without curling the toes. Calf stretching is also beneficial because tight calf muscles can affect foot mechanics. Practicing these exercises regularly may support better foot function, over time. If flat feet cause pain or difficulty with activity, it is suggested that you see a podiatrist for relief strategies.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any concerns about your feet, contact one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Exercise for Your Feet

Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.

Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctors to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual. 

Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.

If you have any questions, please feel free to contact one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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When Scar Tissue Causes Foot or Ankle Pain

Scar tissue can develop in the foot or ankle after an injury, surgery, or repeated strain to the soft tissues. It forms as the body repairs damaged areas, but the new tissue is often thicker and less flexible than the original structure. When scar tissue builds up around muscles, tendons, or ligaments, it may limit normal movement and create ongoing discomfort. Some people notice stiffness, tenderness, or a pulling sensation during walking or exercise. Treatment often focuses on restoring mobility and reducing irritation in the affected area. Gentle stretching, targeted exercises, and focused massage techniques may help improve flexibility and circulation. Wearing supportive footwear and activity changes can also reduce pressure on healing tissues. In some cases, medical treatments may be recommended to help break up restrictive scar tissue. When scar tissue leads to persistent foot or ankle pain or reduced movement, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Prevent Injury and Fatigue With Custom Orthotics

Custom Orthotics aren't just about comfort; they're your shield against injury and fatigue. By aligning your feet just right, they reduce strain on muscles and joints, ensuring you stay active longer without the usual wear and tear. Whether you're an athlete pushing limits or someone seeking day-to-day ease, Custom Orthotics offer the support you need. Don't let fatigue set the pace; with Custom Orthotics, you're always one step ahead. Call today for more information.

Heel Pain in Growing Children and What It May Mean

Heel discomfort in children is surprisingly common, especially during growth spurts when the bones, muscles, and tendons develop at different speeds. One of the most frequent causes is irritation of the growth plate at the back of the heel, often called Sever’s disease. This condition can create soreness during activity, stiffness after rest, or limping during sports. Tight calf muscles, flat feet, high arches, and wearing worn-out shoes can add extra strain to the heel, making symptoms more noticeable. Because kids are often active and may not slow down when something hurts, the irritation can worsen without guidance. A podiatrist can evaluate the child’s foot structure, activity level, and gait to determine the exact cause of the pain. Treatment may include activity modification, stretching, wearing supportive footwear, or orthotic devices that reduce pressure on the heel. If your child’s heel pain persists, affects sports participation, or causes limping, it is suggested that you see a podiatrist for a proper assessment and appropriate care.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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