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Tuesday, 04 February 2025 00:00

Managing Hammertoe Deformity

Hammertoe is a condition where one or more of the smaller toes develop an abnormal bend at the middle joint, often due to muscle imbalance. Wearing tight footwear and high heels are common causes of hammertoes, as they force the toes into unnatural positions, which can shorten tendons over time. Women are more frequently susceptible to hammertoe formation, largely due to footwear choices, but anyone with a history of diabetes, arthritis, or prior foot injuries is also at greater risk. Symptoms of hammertoe include the formation of calluses, pain during movement, and impaired balance or mobility. A podiatrist can diagnose hammertoe by evaluating the flexibility of the affected toe joint and determining whether custom orthotics or footwear modifications may relieve discomfort. For fixed joints or persistent pain, surgery might be needed to realign the toe. If you have problems with a hammertoe, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.

Hammertoes can be a painful condition to live with. For more information, contact Dr. Richard DiMario of Maine. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

  • Painful and/or difficult toe movement
  • Swelling
  • Joint stiffness
  • Calluses/Corns
  • Physical deformity

Risk Factors

  • Age – The risk of hammertoe increases with age
  • Sex – Women are more likely to have hammertoe compared to men
  • Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
  • Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

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

Read more about Hammertoe
Wednesday, 29 January 2025 00:00

Arthritis Can Cause Pain in the Feet and Ankles

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

Tuesday, 28 January 2025 00:00

Diabetic Wound Care

Diabetic wounds, particularly on the feet, are a serious concern for people with diabetes due to reduced blood flow and nerve damage. These wounds can develop from minor cuts, blisters, or pressure sores and may not heal properly due to poor circulation and neuropathy. Additionally, sometimes diabetic wounds do not engage the immune cells necessary for normal wound healing. Symptoms include redness, swelling, pain, or the presence of an open sore that does not heal over time. In some cases, the wound may become infected, causing increased pain, warmth, or drainage. The main causes of diabetic wounds include high blood sugar, which affects circulation and immune response, as well as nerve damage that reduces sensitivity to pain. Treatment typically involves thorough cleaning, wound dressings, and possibly antibiotics for infection. A podiatrist can provide specialized care, including debridement, tips on custom footwear, and guidance on managing blood sugar to prevent further complications. If you have diabetes and have developed a foot wound, it is suggested that you schedule an appointment 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 Dr. Richard DiMario from Maine. 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 office located in York, ME . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Wound Care
Tuesday, 21 January 2025 00:00

Blisters on the Feet

Blisters on the feet are small, fluid-filled pockets that form between the layers of skin, typically caused by friction, pressure, or burns. Symptoms include pain, redness, swelling, and the appearance of a raised bubble on the skin. Blisters often occur from wearing tight shoes, ill-fitting socks, or prolonged walking or running. The most common causes are friction from new shoes or repetitive motion, such as running or hiking. Blisters can also result from hot weather, causing sweaty feet, or from burns or allergic reactions. Treatment usually involves protecting the blister with a bandage or blister pad, keeping it clean and dry, and avoiding further friction. In some cases, a podiatrist may drain the blister in a sterile environment to prevent infection or offer advice on better footwear. If blisters are recurrent or cause significant pain, a podiatrist can recommend customized solutions to prevent them. For this reason, if you have developed a foot blister, it is suggested that you schedule an appointment with a podiatrist.

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, contact Dr. Richard DiMario of Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can 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.

Symptoms

(Blister symptoms may vary depending on what is causing them)

  • Bubble of skin filled with fluid
  • Redness
  • Moderate to severe pain
  • Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

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

Read more about Blisters
Tuesday, 14 January 2025 00:00

Treatment Options for Morton’s Neuroma

Morton’s neuroma is a condition that causes pain in the ball of the foot. The sensation is often described as stepping on a pebble or experiencing a burning feeling. Morton’s neuroma arises when tissue surrounding a nerve thickens due to irritation or compression. It frequently affects the area between the third and fourth toes. A podiatrist can assess your symptoms and may recommend orthotics to redistribute pressure, reducing nerve irritation. For more persistent pain, corticosteroid or anesthetic injections might provide relief by addressing inflammation or numbing the affected area. In severe cases, surgical options, such as neurectomy or decompression, may be considered to alleviate pain and restore mobility. These procedures aim to remove the affected nerve tissue or reduce surrounding pressure. A podiatrist can conduct a thorough evaluation and determine the best way to confront Morton’s neuroma. If you have pain in the ball of your foot, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. Richard DiMario of Maine. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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

Read more about What is Morton's Neuroma?
Tuesday, 07 January 2025 00:00

Essential Diabetic Foot Care

Regular foot care is essential for people with diabetes, as high blood sugar can lead to nerve damage known as neuropathy, and poor circulation, making feet more vulnerable to injury and infection. Symptoms often include numbness, tingling, or a loss of sensation in the feet, making it difficult to feel cuts, blisters, or sores. If left untreated, even minor injuries can lead to serious complications, including ulcers and infections. The primary causes of foot issues in diabetics patients are nerve damage, poor circulation, and reduced ability to heal wounds. Diabetic individuals may also experience dry skin, calluses, or fungal infections. A podiatrist can provide essential care, including regular foot exams, wound care, and preventative treatments. They may recommend custom shoes or orthotics to reduce pressure points, prescribe medications for infections, and teach proper foot hygiene techniques. If you have diabetes, it is suggested that you are under the care of a podiatrist who can help you to manage this serious condition.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Dr. Richard DiMario from Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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

Read more about Diabetic Foot Care
Tuesday, 31 December 2024 00:00

Key Facts About Athlete’s Foot

Athlete’s foot is a fungal infection that affects the skin on the feet, causing itching, burning, and peeling. It is caused by dermatophytes, a type of fungus that thrives in warm, moist environments like locker rooms, swimming pools, and public showers. The infection spreads through direct contact or by sharing contaminated items such as towels or shoes. Those who sweat excessively or wear tight, non-breathable shoes are at higher risk. Symptoms of athlete’s foot include red, scaly skin, blisters, and cracked skin, often between the toes or on the soles of the feet. If left untreated, the infection can spread to other areas of the body, including the nails or groin, and may lead to bacterial infections. Persistent infections may require stronger medications or specialized care. A podiatrist can accurately diagnose the condition and recommend the best treatment plan. If you are experiencing symptoms of athlete’s foot, it is suggested that you schedule an appointment with a podiatrist.

Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact Dr. Richard DiMario from Maine.  Our doctor will treat your foot and ankle needs.

Athlete’s Foot: The Sole Story

Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.

Solutions to Combat Athlete’s Foot

  • Hydrate your feet by using lotion
  • Exfoliate
  • Buff off nails
  • Use of anti-fungal products
  • Examine your feet and visit your doctor if any suspicious blisters or cuts develop

Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best for you.

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

Read more about Athlete's Foot
Monday, 30 December 2024 00:00

Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

Tuesday, 24 December 2024 00:00

Facts About Peripheral Artery Disease

Peripheral artery disease, known as PAD, occurs when the blood vessels in the legs and feet become narrowed or blocked, reducing blood flow. This leads to symptoms like leg pain, cramping, or fatigue, particularly when walking or exercising. PAD can also cause sores or ulcers that are slow to heal, or cold, pale feet. In severe cases, it can increase the risk of infections or even amputation, if left untreated. The primary cause of PAD is atherosclerosis, a condition where fatty deposits build up in the arteries. Risk factors include smoking, diabetes, high blood pressure, and high cholesterol. Treatment for PAD often involves lifestyle changes, such as quitting smoking, exercising, and managing blood sugar and cholesterol levels. Medications or surgery may be necessary in more advanced cases. A podiatrist can assess your condition, provide effective treatments, and help prevent complications. If you are experiencing symptoms of PAD, it is suggested that you schedule an appointment with a podiatrist.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Dr. Richard DiMario from Maine. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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

Read more about Peripheral Artery Disease
Tuesday, 17 December 2024 00:00

Managing Nighttime Gout Flares

Nighttime gout flares often cause intense pain, swelling, and redness in the feet, and can severely disrupt sleep. Gout is a form of arthritis caused by a buildup of uric acid in the joints, and it frequently affects the big toe due to its susceptibility to stress and lower temperatures. Nighttime gout attacks may be linked to factors such as dehydration, reduced body temperature, and lower cortisol levels during sleep. These painful episodes can make it difficult for patients to find relief without medical help. A podiatrist can assess symptoms, confirm a diagnosis, and recommend strategies to reduce the frequency and severity of gout flares. These may include lifestyle modifications such as changes in diet, preventative techniques like weight loss, and treatments to alleviate pain and inflammation in the affected joints. Proper management not only helps to protect the health of your feet and ankles but also improves sleep patterns. If you have nighttime flare-ups of gout, it is suggested that you schedule an appointment with a podiatrist for guidance in managing this painful condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Richard DiMario from Maine. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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

Read more about Everything You Need to Know About Gout
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