Posts Tagged ‘scottsdale foot doctor’
Those who suffer from diabetes are often at a higher risk for developing diabetic neuropathy. This is when nerves are damaged that transmit vital information throughout the body, like feeling pain or controlling muscles and organs. Although there are many ways that diabetes can cause damage to the body’s nerves, a high blood sugar level for an extended period of time seems to be related to them all. Most types of nerve damage from diabetes can be painful, but in many cases the pain isn’t considered to be severe.
The Signs and Symptoms of Diabetic Neuropathy
With the different types of neuropathy and nerves that can be affected, there can be a wide range of symptoms that people experience with diabetic neuropathy. Some of those that do have nerve damage will not experience any symptoms, while others will.
Generally, the beginning signs of diabetic neuropathy will include tingling, numbness, or pain in both feet. Symptoms can often be minor at first, and in mild cases they can even go unnoticed over several years. The symptoms of diabetic neuropathy will vary and depends on the nerves that are affected with the type of neuropathy.
Types of Neuropathy
The four forms of diabetic neuropathy that affect different functions are peripheral neuropathy, autonomic neuropathy, proximal neuropathy, and focal neuropathy. The different symptoms of each form of neuropathy can include:
- Peripheral neuropathy – This type occurs most often, and generally affects the legs and feet first. Possible symptoms can be numbness or inability to feel pain, burning or tingling feeling, sharp pains, difficulty walking due to muscle weakness, pain when standing or walking, or severe issues with the foot like infections, ulcers, joint pain, or deformities.
- Autonomic neuropathy – This form will usually affect the digestive system, but problems can also occur with the heart, lungs, intestines, eyes, and sex organs. The damaged nerves in this system can cause bladder problems with constant infections, diarrhea or constipation, nausea and vomiting, increased heart rate, blood pressure problems, inability to regulate body temperature, difficulty swallowing, and many other types of symptoms throughout the body.
- Proximal neuropathy – This is more common with older adults and those who suffer from type 2 diabetes. Proximal neuropathy will generally cause pain on one side of the body, and it can be felt in the hips, thighs, legs, or buttocks. It can also cause weakness in the legs and the need of assistance to stand up from a sitting position.
- Focal neuropathy – This form can suddenly appear and progress quickly with specific nerves. This will usually occur in the torso, head, or legs, which can cause pain and weakness in muscles. Other symptoms may include severe pains in specific areas, abdominal or chest pain, eye pain or double vision, or possibly one side of the face becomes paralyzed.
Treatments for Diabetic Neuropathy
There are currently no known cures for diabetic neuropathy, but treatment will focus on slowing down the progression of the disease, relieving the pain, restoring any lost functions, and managing the complications. To slow progression, the blood sugar level is constantly monitored and kept within the targeted range. This may also cause the symptoms you are currently experiencing to improve. Other methods used to slow down damage of the nerves is to avoid alcohol, stop smoking, maintain a healthy eating plan, physical activity, or by maintaining a healthy weight.
At the Scottsdale Neuropathy Institute, Dr. Jacoby has been successfully treating individuals with diabetic neuropathy for over two decades. Each patient’s treatment is individualized for the best results.
To relieve nerve pain there are several medications that can be used, but they will not always work for everyone, and in some cases the side effects can be worse than the symptoms. Usually over the counter medications can relieve some minor pain and inflammation, but in many cases prescription medications like opioids, anti-depressants, anti-seizure medication, or a lidocaine patch will be prescribed.
Along with medications, doctors will generally recommend physical therapies, as well as alternative therapies like acupuncture and yoga, maybe even laser treatment.
Dr. Jacoby has also performed over 2500 Dellon Decompression surgeries. This procedure is designed to increase blood flow and has prevented the need for an amputation in ALL of those undergoing the procedure!
To receive the best treatment available for your diabetic neuropathy with a a world class expert in all types of neuropathy treatment, call the Scottsdale Neuropathy Institute today at (480) 994-5977!
A person with diabetes is prone to foot problems. Poor circulation, neuropathy and decreased sensitivity can all lead to problems in the lower extremities, including the foot and toes. Proper foot care is essential for those with diabetes, in order to prevent problems later on in life.
Foot problems commonly occur in people with diabetes. These problems can become serious if they are not cared for. Nerve damage may result in a person not being able to feel cuts, abrasions or ulcers that develop on the foot. Also, when there is damage to the nervous system, a person with diabetes may not be able to produce normal levels of oils and sweat that keep the skin lubricated. Sores may develop easily as the skin becomes more susceptible to breaking down.
Diabetic Foot Care
Treatment at home or by a podiatrist is necessary for people who have been diagnosed with diabetes. The foot is more prone to injury and should be examined daily for problems. Proper examination starts at home and includes:
- A thorough foot examination – daily. If you have trouble looking at the bottom and sides of your feet on a daily basis, it is recommended that you seek care from a podiatrist who is experienced in seeing patients with diabetes. If you suspect an injury or witness an ulcer or wound that is not healing on your foot, seek medical attention right away.
- Keep the nails trimmed. Toenail trimming is essential for diabetic foot care and safety. It is important to trim the nails straight across and file the edges to eliminate any sharp areas. If you are unable to trim your toenails, a podiatrist can help you with this task.
- Keep the paths clear. This means that any obstacles that could cause you to trip in your home or porch need to be removed. Loose cords, lamps, stands and overall clutter should be moved so that you are not at risk of falling or injuring your feet.
- Wear proper shoes and footwear. Footwear includes socks, slippers and shoes. If you wear slippery socks in the house, you may be prone to injury. Rubber bottomed socks are great for offering a no-slip surface while in the home. Roomy shoes that do not rub against the sides of the feet are also recommended for people with diabetes. The friction can contribute to wound development.
- Blood sugar control. Your doctor can help you keep your blood sugar levels under control, which in turn lessen the risk of developing nerve damage. If you have questions about blood sugar and diabetic foot care, see your podiatrist today for a proper assessment.
The Scottsdale Neuropathy Institute can help you achieve pain relief with your diabetic neuropathy. Dr. Richard Jacoby has been a nationally renowned podiatrist in Arizona helping patients achieve pain relief for over 20 years. Patients are seen from all over the Southwest, and treatment is available including conservative options and surgical intervention such as the Dellon decompression. Call (480) 994-5977 for help today.
When there is a lack of blood flow and circulation is impaired from the heart to the foot, a condition known as ischemic foot may arise. Arterial insufficiency may occur due to a blood clot, cholesterol build up in the main artery or injury to the artery.
Ischemic foot means that there is not enough blood flow reaching the foot and providing the area with oxygen and nutrients needed to operate and function properly. The result can be extremely painful and cause the affected individual a lot of problems. Mobility problems, skin integrity disorders and even tissue death may occur due to the lack of circulation and blood flow to the foot.
Diagnosis of Ischemic Foot
Early symptoms of ischemic foot may include discoloration of the skin, cramping of the foot and toe muscles when walking, and extremely cold feet that are difficult to warm up. Later symptoms, after the condition has progressed, may include ulceration and dying skin. Gangrene and severe infection may result from the decreased blood flow in the foot.
Your Phoenix foot doctor will use a series of tests to help diagnose ischemic foot. A physical examination, arterial Doppler testing, and x-rays may be needed to determine the severity of the problem.
Treatment for Ischemic Foot
The earlier the condition is diagnosed, the earlier it can be treated. When an ischemic foot problem is treated early, the patient has a better chance of improvement.
During the early stages of the condition, your podiatrist in Phoenix may recommend walking exercises to improve circulation. Protective shoes may be necessary to prevent friction and rubbing against the skin. When excessive rubbing occurs, ulcers and skin wounds may occur. Medications are also recommended for improved blood flow to the foot.
When the condition has advanced, more aggressive treatment may be required to eliminate the painful symptoms and improve blood flow to the feet. Your foot and ankle doctor may refer you to a vascular specialist who can work with your condition and design an effective treatment plan. If surgery is required to remove a blood clot, further evaluation may be required.
Your podiatrist will work wit you to improve circulation and prevent serious problems from occurring. Serious problems that can arise if treatment is not received include infected ulcerations on the skin and tissue death. In the event that tissue death is severe, amputation could be the end result. It is important to see a podiatrist concerning your ischemic foot problems and have the condition evaluated and treated.
Scottsdale Neuropathy Institute provides first rate treatment to those suffering from painful feet due to neuropathy and other conditions. For the best diabetic neuropathy and peripheral neuropathy treatment in the Southwest, call (480) 994-5977.
A corn is a thick deposit of skin that develops on the foot from excessive friction. Generally a corn is also recognized as a callus that is located somewhere along the foot. Corns develop, most commonly, due to poor fitting shoes and arise on the bottom of the feet or toes.
Proper care is needed to decrease pain and discomfort that may develop from corns. A person who suffers from corns may experience pain with every step they take, as added pressure from walking may cause tenderness and discomfort.
There are several steps that can be done to alleviate the pain from corns and help eliminate the sometimes-debilitating problem.
Step 1: Stop wearing poorly fitted shoes
Shoes that are too tight and cause excessive rubbing and friction can create corns on the feet and toes. Roomy shoes are a better choice because they do not cramp the toes or put pressure on the areas of the feet that are sensitive to corn development. Cushioned pads may also be worn over the affected area to protect against the rubbing of a shoe.
Step 2: See a podiatrist in Scottsdale
If the corn remains painful it may be necessary to seek the care of a Scottsdale podiatrist such as those at Valley Foot Surgeons who specialize in the care and treatment of this problem. Rather than removing any dead skin yourself, a podiatrist can cut away the excess and dead skin to alleviate the pain caused by the corn. It is important to avoid cutting away the skin at home because a deep cut may lead to infection.
Corn and Callus Prevention
The best way to prevent corns and calluses from developing on the foot or toes is to avoid putting pressure on the toes or ball of the foot. If you already have a localized foot deformity that frequently leads to corns you may require the assistance of a podiatrist to help treat the problem. A podiatrist can make recommendation for treatment regarding the foot deformity.
In some of the most severe cases, surgery may be required. If the corn is persistent and recurrent, surgery may also be required. While most podiatrists begin with conservative treatment to solve the problem, in severe cases surgery may be immediately recommended or following a failed conservative treatment plan.
If the right shoes are not changing the symptoms and pain continues, see a podiatrist right away to correct the underlying problems that may be causing your corns or calluses. An expert can help you regain a pain-free life.
Call Valley Foot Surgeons, the leading podiatrists in Scottsdale and Phoenix AZ. The podiatrists are experts in the care of corns, calluses, diabetic neuropathy and more. Call (480) 994-5977 Today.
Plantar warts do not often require treatment. In many instances they heal on their own after a few years. It is important to see a foot doctor in Scottsdale if they are causing pain, not going away or changing shape or color. These warts can also spread so it is important to seek treatment if they begin to multiply. It is much easier to treat a few plantar warts than several.
Plantar warts are typically resistant to treatment, which means you have to be consistent and patient in order to get the results you desire. Most plantar warts need multiple interventions. Individuals with diabetes or damaged feet will need to undergo treatment under the careful watch of a doctor.
Treatment Options for Plantar Warts
There are some home remedies that can help with plantar warts but they are typically not as effective as remedies provided by a health care provider. The treatment options offered by your doctor may include:
Cryotherapy – cryotherapy involves using liquid nitrogen to freeze the wart. The liquid nitrogen is applied via a spray can or cotton applicator. The liquid nitrogen causes the skin to die allowing the wart to be removed within 7-10 days of application. The treatment can be painful when applied.
Cantharidin – this is a substance that is extracted from a blister beetle. Your doctor will typically apply a mixture of Cantharidin and salicylic acid to the warts then cover them with a bandage. The application is typically painless followed by a painful blister that forms within a few days.
Immunotherapy – this type of therapy utilizes your body’s immune system to naturally remove the warts. Doctors facilitate this process through one of two ways: injecting the wart with interferon, which boosts the immune system to reject the warts or injecting an antigen that stimulates the immune system.
Aldara – this is a prescription cream that causes the body to release cytokines to attack the warts. This treatment can cause severe tissue damage and flu like symptoms. Should these side effects occur, the treatment is dropped.
In the event that symptoms persist or the plantar warts continue, surgery may be required. Below is the most common procedure associated with plantar warts:
Same day surgery – surgery to remove the plantar wart(s) involves cutting the wart away using an electric needle. Your Phoenix foot doctor will apply anesthesia to the skin before the procedure takes place in order to mitigate pain. Scarring is an issue so this treatment is often a last resort.
If you are suffering with plantar warts and desire treatment with the best foot and ankle specialists in Phoenix and Scottsdale, call Valley Foot Surgeons today at (480) 994-5977.
High Arch – The Cavus Foot
Cavus foot is a condition in which the foot has an extremely high arch and because of this arch, an excessive amount of weight is placed on the ball and heel portions of the foot when standing or bearing weight. Cavus foot can lead to a variety of symptoms, including pain and instability. The condition can develop at any age, and can occur in one or both feet.
Diagnosis of the cavus foot includes a complete review of the patient’s medical history and family history. An accurate diagnosis of this problem is critical to treatment and knowing the underlying cause is important in determining its future course. If the high arch is due to neurological disorders or another medical condition, it most likely will worsen over time.
Once the doctor has completed a thorough patient history, the foot and ankle are examined. Since the condition may lead to other problems, such as hammertoes, claw toes, or calluses, these issues are looked for. The foot is then tested for muscle strength and the patient’s walking pattern is assessed. The Scottsdale podiatrist may also examine the pattern of wear along the patient’s shoes.
During the initial examination, x-rays may be ordered to further assess the condition. In some cases where neurological conditions are suspected, a doctor may order a complete neurological evaluation be done on the patient.
Depending on the nature and severity of the condition, surgery procedures may be recommended. If non-surgical treatment fails to inadequately relive the pain and symptoms of instability, surgery may be needed to decrease the issues associated with the high arch. Surgery may also be considered for cases that are likely to get worse over time, even if there is not currently pain or instability. In many of these cases, the goal of surgery is to help relieve symptoms or reduce the severity of future problems.
Some people with cavus foot may experience foot drop, which is a weakness of the muscles in the foot and ankle that results in a dragging of the foot when a step is taken. Foot drop is generally a sign that there is an underlying neurological condition and surgery is almost always required to correct the problem.
Cavus foot is often caused by a neurological disorder or medical condition, such as cerebral palsy or even stroke. In other cases involving cavus foot, the high arch may represent an inherited structural deformity or abnormality. The condition can be diagnosed accurately and corrected to prevent future problems from occurring.
To get the best evaluation possible, visit the Scottsdale Neuropathy Institute today, which is also home of Valley Foot Surgeons and the most respected foot and ankle doctors in Phoenix and Scottsdale. Call (480) 994-5977 today.