Monday, 10 May 2021 00:00

How Exactly Do Blisters Form?

When friction from a shoe or sock rubbing against your skin causes the epidermis (top) layer and dermis (underlying) layer of skin to move in opposite directions, the skin becomes irritated, red, and inflamed. Continued friction will cause the epidermis and dermis to separate and fill with fluid or blood, and a blister is formed. Pain from a blister is caused when nerves are stimulated by the fluid. You can help stop blisters from occurring by wearing shoes that fit properly and don’t allow your feet to slip around or rub against them. New shoes or boots should be worn in properly and gradually—before wearing them all day. If you are planning a long walk or hike, you can try taping areas on the foot that are prone to blisters such as the back of the heel, the big toe and the little toe. A podiatrist can show you how to tape your feet properly and also create custom orthotics designed specifically to keep your feet from developing blisters. They can even suggest appropriate footwear for walking and running.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Nrup Tolat, DPM of Atlanta Total Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

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

Read more about Blisters on the Feet
Monday, 10 May 2021 00:00

Blisters on the Feet

Blisters are a common ailment of people who wear shoes that are either too tight or rub against the feet in an uncomfortable way. Knowing the basics of blisters is important for understanding how they are formed and what treatments should be used for them.

A blister on the foot, or any other part of the body, is a small pocket that is filled with fluid. It usually forms on the upper layer of the skin because these layers are loose enough to allow a blister to form. The most common fluid in a blister is just a clear, watery-like fluid that usually isn’t cause for concern. However, blisters can fill up with blood if they are deep enough and pus if they have become infected with bacteria.

Blisters almost always form on the feet due to shoes rubbing up against the foot, where the friction causes blisters. These can occur after you have walked for a long period of time or when your shoes do not fit you properly. Your feet are also more prone to blisters if they are moist, so keeping them dry and clean is one preventative step you can take.

Preventing infection should be the number one concern when treating blisters, as well as relieving the pain they can cause. Using a bandage to cover up the blister will help it heal and prevent bacteria from entering it. New skin will form under the blister and eventually cause it to pop. You can also take a sterilized pin and try to pop it yourself.

If the blister is filled with pus or blood, seeking treatment from a doctor is ideal. Antibiotics may need to be taken in order to completely eliminate the bacteria inside the blister. See a doctor to have an antibiotic prescribed.

The best way to treat blisters is to prevent them all together. Keeping your feet dry and making sure that your shoes fit properly are just two of the steps you can take to prevent blisters. Shoes that are too tight or shoes that are too loose and allow your feet to slide in them will cause blisters. Applying a bandage to an area where you think a blister is about to form is another way you can prevent them.

Monday, 03 May 2021 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!

Cracked heels are a common foot problem that can affect up to one in five adults. While cracked heels aren’t usually a big issue for most, they can lead to discomfort and severe pain. There are a variety of factors that can lead to cracked heels. These include standing for long periods of time, walking barefoot, using harsh soaps, dry skin from the climate, and shoes that don’t support the heels. Medical causes such as a vitamin deficiency, fungal infection, obesity, or pregnancy can also lead to cracked heels. In order to prevent cracked heels, make sure to wear shoes that properly support the heels by avoiding shoes with an open back, tall skinny heel, or shoes that are too tight. Staying hydrated, using a foot cream, avoiding standing in one place for a long period of time, and using custom shoe inserts are all ways to help prevent and treat cracked heels. If you have painful cracked heels, consulting with a podiatrist is suggested for a proper treatment method.   

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Nrup Tolat, DPM from Atlanta Total Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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

Read more about Solutions for Cracked Heels
Monday, 03 May 2021 00:00

Solutions for Cracked Heels

Cracked heels can make life very frustrating and embarrassing when displaying the bare feet. Aside from being unpleasing to the eye, they can also tear stockings and socks and wear out shoes at a faster rate. When severe, cracked heels may cause pain or infection.

Cracked heels are a problem for those who are athletic, those who may walk a lot, and those who have especially dry skin. Those who use medication that dry the skin, those who swim often, wearing certain types of shoes, and those who are diabetic may have trouble with cracked heels. Seniors whose skin produces less oil may also have trouble with cracked feet. There is no one way to develop cracked feet, and there is no cure.

Today, the market consists of numerous products that have a variety of ingredients to promote healing. Some of these are over-the-counter. Others are prescribed by a doctor, especially for those who have chronic dry feet and heels.

Some doctors recommend wearing socks at night for those with rough skin. This helps further healing, and helps creams stay on longer and better absorb into the skin.

One way to alleviate dryness that causes cracked heels is by using moisturizers both day and night. Another way is to make sure the skin is clean and dry at all times. Using a pumice stone to buff away dead skin before putting on moisturizer can also help. Cracked heels will not respond to the cream unless the outer layer of skin is first removed through exfoliation. After exfoliation, lotion or ointment will be absorbed by the skin more easily.

Foods that produce healing and balance can also help the skin from within. Everything that is put into the body can either help it or hurt it. Taking supplements of omega-3 fatty acids and zinc can also be very beneficial.

Nevertheless, not all products are guaranteed to help treat cracked feet. Seeing a professional is best if other treatments options were unsuccessful. A podiatrist should be able to give the best advice to help with this problem.

Monday, 26 April 2021 00:00

What Is Metatarsalgia?

Metatarsalgia is a common foot condition characterized by pain in the front of the foot. When the metatarsal bones are exposed to high levels of stress, they can become inflamed. This leads to symptoms such as sudden or gradually worsening pain in the front of the foot, and burning, aching, shooting, tingling, or a numb sensation in the foot. Metatarsalgia is often associated with other foot conditions, including Morton’s neuroma, metatarsophalangeal synovitis, avascular necrosis, sesamoiditis, and inflammatory arthritis. While anyone can develop this condition, athletes who enjoy running or other high impact sports may be more susceptible. If you have pain in the front of one or both of your feet, please seek the counsel of a podiatrist who can diagnose and treat this ailment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Nrup Tolat, DPM from Atlanta Total Foot & Ankle Care. Our doctor 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 our offices located in Woodstock and Atlanta, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot Pain
Monday, 26 April 2021 00:00

Foot Pain

The feet, being the foundation of the body, carry all of the body’s weight and are therefore prone to experiencing pain and discomfort. If you are experiencing foot pain, it is important to determine where in the foot you are experiencing this pain to help discover the cause of it. While pain can be experienced virtually anywhere in the foot, the most common sites of foot pain are in the heel and ankle.   

Heel pain can be due to a multitude of conditions including plantar fasciitis, Achilles tendinitis, and heel spurs. Pain experienced in the ankle can be a sign of an ankle sprain, arthritis, gout, ankle instability, ankle fracture, or nerve compression. In more serious cases, pain in the foot can be a sign of improper alignment or an infection.

Foot pain can be accompanied by symptoms including redness, swelling, stiffness and warmth in the affected area. Whether the pain can be described as sharp or dull depends on the foot condition behind it. It is important to visit your local podiatrist if your foot pain and its accompanying symptoms persist and do not improve over time.

Depending on the location and condition of your foot pain, your podiatrist may prescribe certain treatments. These treatments can include but are not limited to prescription or over-the-counter drugs and medications, certain therapies, cortisone injections, or surgery.

If you are experiencing persistent foot pain, it is important to consult with your foot and ankle doctor to determine the cause and location. He or she will then prescribe the best treatment for you. While milder cases of foot pain may respond well to rest and at-home treatments, more serious cases may take some time to fully recover.

Foot ulcers are open wounds that may be clearly visible or hidden beneath hardened skin or dead tissue. They can occur on the bottom or sides of the foot, or on the top or tip of the toes, and range in severity from surface wounds to deep craters that may expose tendons and bones. Left undetected and untreated, they may become infected and escalate to a serious health issue. In the worst cases, foot ulcers may even lead to amputation. Discovering and healing ulcers can be challenging for those with diabetes. Increased levels of glucose in the blood may cause nerve damage and poor circulation, which may decrease your ability to detect and heal ulcers. Along with treating other foot and ankle issues, podiatrists can provide proper diabetic foot ulcer care through a variety of treatments, medicines, and procedures.

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 Nrup Tolat, DPM from Atlanta Total Foot & Ankle Care. 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 offices located in Woodstock and Atlanta, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Wound Care
Monday, 19 April 2021 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.

Ankle sprains occur when the ligaments which connect the bones in the ankle become overstretched or even torn. This is often a result of the ankle being twisted. Ankle sprains can range from mild, where the ankle is tender and swollen, to severe, where the ankle is unstable and unable to bear weight. Ankle sprains should be treated by a podiatrist because recurring or severe sprains can result in long term weakness and joint pain in the ankle. Depending on the severity of the sprain, a podiatrist may take X-rays of the ankle to make sure there are no broken bones. A podiatrist will also be able to guide the recovery and rehabilitation of the ankle sprain.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Nrup Tolat, DPM from Atlanta Total Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

  • Pain at the sight of the tear
  • Bruising/Swelling
  • Ankle area is tender to touch
  • In severe cases, may hear/feel something tear
  • Skin discoloration

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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

Read more about Ankle Sprains
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