Thursday, 26 May 2022 00:00

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek professional help and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Tuesday, 24 May 2022 00:00

Different Types of Toenail Fungus

Toenail fungus has noticeable symptoms consisting of a yellowing and thickening of the toenails. In severe cases, the nail may crumble and fall off. The infection is caused by a fungal microbe that can enter the body through the nail bed. There are different types of toenail fungus, and the most common is referred to as onychomycosis which can be associated with diabetic patients. Additionally, elderly people and patients with a compromised immune system can develop this type of fungal infection. Paronychia occurs when the tissue folds surrounding the nail become inflamed. Toenail fungus is contagious, and it thrives in warm and moist environments. These can include public swimming pools, locker rooms, and shower room floors. If you are in these areas, it is suggested that you wear appropriate shoes, and refrain from sharing towels, socks and shoes. A proper diagnosis consists of clipping a piece of the nail and observing it through a microscope. This will determine what type of fungus is present. If you have developed toenail fungus, please confer with a podiatrist who can guide you toward the correct treatment solutions.

For more information about treatment, contact Ambrose Su, DPM of Cascade Foot Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please contact our office located in Bend, OR . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about How to Treat Your Toenail Fungus
Tuesday, 24 May 2022 00:00

How to Treat Your Toenail Fungus

While not a serious issue, toenail fungus, or onychomycosis, can be an embarrassing and uncomfortable condition to experience. Toenail fungus is often caused from public areas that harbor fungi and improper cleaning/drying of the foot. Once infected, the fungus grows deeper into the nail and can be very hard to get rid of.

There are different types of fungus that cause toenail fungus. Dermatophytes, yeasts, and molds are the most frequent forms of fungus to infect the toenail. Dermatophytes are the most common among the three. Symptoms associated with fungal nails include the discoloration of the toenail, brittleness, and in some circumstances, a smell. Pain is rarely a symptom caused by toenail fungus.

Diagnosis of fungal nails is generally a rather quick process. However podiatrists will make sure that the cause is not another condition such as lichen planus, psoriasis, onychogryphosis, or nail damage. Podiatrists will make use of fungal cultures and microscopy to verify that it is fungus.

While over-the-counter ointments are readily available, most are ineffective. This is due to the fact that the nail is very protective and that the fungus slips in between the nail plate and bed. Podiatrists can offer oral medication which currently provides the best results.

Ultimately, prevention is the best line of defense against toenail fungus. Avoid unsanitary public showers. If you do use a public shower, use shower shoes to provide your foot with protection. Once you are finished showering, make sure to thoroughly dry your feet. Fungi thrive in warm, dark, and moist places like sweaty, warm feet that are left dark in shoes all day.

Many people take care of their body, but neglect proper foot care. This can lead to limited physical activity and possibly developing specific foot conditions. Everyday foot care starts with washing and drying the feet thoroughly, followed by applying a good moisturizer. Trimming the toenails properly is essential in possibly preventing ingrown toenails. It is beneficial to soak the feet in warm water for approximately 15 minutes, which may have a positive effect on the overall body. Performing frequent foot stretches can help to strengthen the feet and make it easier to complete daily activities. Many patients enjoy getting foot massages and pedicures, adding to the feeling of general well being. It is important to wear shoes that fit properly, in addition to wearing appropriate foot coverings while in public swimming areas and locker rooms. If you would like more information about tips on everyday foot care, please confer with a podiatrist.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, contact Ambrose Su, DPM from Cascade Foot Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

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

Read more about Everyday Foot Care
Tuesday, 17 May 2022 00:00

Everyday Foot Care

Our feet are arguably one of the most important parts of the body. When it comes to health and beauty routines, the feet and toenails are usually ignored. You should always practice proper footcare to avoid any fungal infections or ailments that can not only ruin the appearance of your feet, but also cause pain. Ignoring any foot problems could potentially lead to an expensive doctor’s visit.

The most important step in proper foot care is to wash your feet daily. You should wash them with soap and water. Doing this will cleanse your feet of dirt, sweat and bacteria. It is crucial that you clean between the toes and pat your feet dry with a towel afterward. Your toenails are also an important part of the feet and you may find that they get dirtier in the summer when you wear sandals. It is important that you practice proper toenail care in addition to cleaning the rest of your feet. When trimming your nails, you should always trim straight across instead of in a rounded shape. Trimming in a curved shape may lead to ingrown toenails.

Moisturization is also important for foot care, and you should be moisturizing your feet every day. The best way to prevent dry feet is to rub lotion or petroleum jelly on your clean feet at night and put socks over them. In the morning, your feet should be soft and moisturized.

Another crucial step in proper foot care is to wear the right shoes for whichever activity you are going to partake in. In warmer weather, you should wear shoes that allow your feet to breathe. It is best to avoid shoes such as flip-fops that do not provide arch support. Tight shoes may also be harmful, and they may even cause you to develop bunions.

If you plan on taking a shower in a public area, you should be especially careful, so you do not pick up any fungi. Showers are prone to harboring different types of bacteria and fungi. You should always wear shower shoes or flip flops when walking around in locker rooms and public showers. Avoid sharing shoes with other people because this is another way that fungus may be spread.

If you are experiencing any problems with your feet you should speak with your podiatrist to determine the best method of treatment for you.

Diabetics are at risk for neuropathy and peripheral arterial disease, or PAD, which can create many foot problems including dry skin, cracks in the feet/heels, and foot ulcers. Since neuropathy involves loss of sensation in the feet, someone who is afflicted may not feel or notice problems developing on their feet. Foot ulcers can occur due to an increase in stress on the feet (stress from overuse or shoes that do not fit properly), impaired skin, limited joint mobility causing abnormal walking patterns, as well as injury to the foot. It is said that PAD can reduce blood flow to the skin, which may compromise its biomechanical properties, reduce its ability to heal wounds, damage its immune system, and possibly lead to severe infections. Foot sores that are left unnoticed can become infected, and in severe cases, this could lead to gangrene and amputation. It is important to see a podiatrist for regular foot care, especially if you notice sores on your feet or are diabetic. 

Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with Ambrose Su, DPM from Cascade Foot Clinic. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Limb Salvage?

Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. 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.

However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. 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 office located in Bend, OR . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Limb Salvage
Tuesday, 10 May 2022 00:00

Limb Salvage

Limb salvage is a procedure that involves saving a lower extremity from amputation. In podiatry, limb amputation often occurs as a result of diabetes, peripheral vascular disease, neuropathy, cancer, and severe crush injury. 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 the bone is removed, it is then replaced with prostheses, 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.

Tuesday, 03 May 2022 00:00

The Senior Population and Foot Wounds

Wounds on the feet can be a common occurrence for much of the population, and they can be a serious concern among the elderly. This can be a result of diminished blood flow in the feet and immediate medical attention may help to avoid potential problems. Effective wound prevention can include moisturizing the feet and drinking plenty of fresh water daily. Additionally, it may help to take a multivitamin that is designed to protect the skin. The skin color may turn when a wound is present, and a clean environment is needed for successful wound healing. This is followed by using a non-adherent dressing and placing a cushioned bandage over the wound. A pressure ulcer is a common type of wound that elderly people may develop. This often happens as a result of pressure that occurs over a bone. If you would like more information about types of foot wounds and how to treat them, it is strongly suggested that you confer with a podiatrist.

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 Ambrose Su, DPM from Cascade Foot Clinic. 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 contact our office located in Bend, OR . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Wound Care
Tuesday, 03 May 2022 00:00

Wound Care

Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.

Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound.  To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.

To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.

Tuesday, 26 April 2022 00:00

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

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