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Peripheral neuropathy, a complication of diabetes, occurs when high levels of fats or sugar in the blood damage nerves throughout the body, particularly in the extremities like the feet and hands. Symptoms include numbness, tingling, pain, and loss of sensation in these areas. Peripheral neuropathy often progresses gradually and can be unnoticed until its more advanced stages. Diagnosis involves a thorough physical examination by a podiatrist to assess reflexes, sensation loss, and skin changes. Additional tests like electromyograms, EMG, or nerve conduction velocity tests, abbreviated NCV, may be required for confirmation. While there is no cure for peripheral neuropathy, managing blood sugar levels is the best way to slow its progression. Treatment focuses on alleviating symptoms and preventing complications, such as ulcers. It is important to seek care from a podiatrist, a doctor who specializes in foot and ankle health, for comprehensive management of peripheral neuropathy. To help maintain mobility and prevent complications like ulcers and amputations, it is suggested that you include a podiatrist in your medical team.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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

Blisters between the toes can be a real pain, whether they're caused by friction, insect bites, burns, or infections. These little pockets of fluid can make each step a challenge. Friction is often the main cause of blisters between the toes. When your toes rub against each other or your shoes, the skin becomes irritated and leads to blister formation. Other causes of blisters between the toes include insect bites, burns, and various infections. While most blisters will heal on their own within a week or two, it's essential to resist the urge to pop them. Breaking a blister can increase the risk of infection and prolong the healing process. Instead, keep the blister clean and covered with a bandage. If the blister is particularly painful or shows signs of infection, it's best to seek medical attention from a podiatrist. Preventing blisters between the toes starts with wearing properly fitting shoes and socks. Avoid walking long distances in new shoes, and be sure to change socks if they become damp. If you have persistent or severe blisters between the toes, it is suggested that you seek help from a podiatrist for relief. 

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact John Horlebein, DPM of Northern Cascades Foot & Ankle, LLC. 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 office located in Chelan, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Stress fractures are small cracks in the bones of the foot or lower leg, typically resulting from overuse or repetitive force. Athletes or those engaging in high-impact sports like running, basketball, or dance are more likely to get stress fractures. These injuries can also occur in people who suddenly increase their physical activity without proper conditioning, or those with poor nutrition or weakened bones. One of the main symptoms of a stress fracture is a sharp pain that worsens with activity and improves with rest. The affected area is often sensitive to the touch and may show signs of swelling. The pain is typically localized, making it feel worse during movements that put stress on the specific bone. Preventing stress fractures involves gradually increasing activity levels, wearing appropriate footwear, and incorporating strength training to enhance bone density. If a stress fracture is suspected, a podiatrist can confirm the diagnosis with imaging tests like X-rays or MRI scans. The doctor may recommend rest, possibly immobilization, and a gradual return to activity to ensure proper healing and prevent further injury. If you suspect a stress fracture, it is suggested that you promptly schedule an appointment with a podiatrist. 

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact John Horlebein, DPM from Northern Cascades Foot & Ankle, LLC. Our doctor can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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