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Stages of Diabetic Foot Ulcers

Diabetic foot ulcers progress through distinct stages, each requiring careful attention to prevent complications. Superficial ulceration begins with damage to the top layer of skin, often presenting as a small sore or redness. Deep ulceration extends into the tissues beneath the skin, increasing the risk of infection and discomfort. Osteomyelitis or deep abscess occurs when the infection reaches the bone, creating severe pain and swelling. In advanced cases, gangrene of the forefoot may develop, posing serious threats to mobility and overall health. A podiatrist can evaluate the severity of the ulcer, provide wound care, recommend protective footwear, and guide treatments to promote healing and prevent progression. If you have diabetes and notice any signs of a foot ulcer, it is suggested that you are under the care of a podiatrist who can help you to manage this serious condition.

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 Edward Sharrer, DPM from Premier Foot and Ankle Clinic. Our podiatrist 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 North Little Rock, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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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!

When Low Arches Affect Comfort and Stability

Flat feet occur when the arches sit lower than usual or collapse when standing, causing the entire sole to rest more fully on the ground. Some people are born with this structure, while others develop it over time due to tendon weakness, aging, injury, or extra stress on the feet. Low arches can lead to tired feet, aching ankles, or discomfort that travels into the knees or lower back because the body works harder to stay aligned. Many individuals also notice shoes wearing unevenly or feeling less supportive during long periods of standing or walking. Wearing supportive footwear, gentle strengthening, and early attention to soreness can improve comfort and prevent further strain. If you have persistent fatigue, instability, or pain related to low arches, it is suggested that you schedule an appointment with a podiatrist for a personalized evaluation.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Edward Sharrer, DPM from Premier Foot and Ankle Clinic. Our podiatrist will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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

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Awareness Makes a Difference With Plantar Fasciitis

Understanding the early signs of plantar fasciitis can help prevent the condition from becoming a long lasting source of heel discomfort. Many people first notice a sharp ache when taking the first steps in the morning or after sitting for a while. This irritation develops when the thick band of tissue along the bottom of the foot becomes strained, often from overuse, inadequate support, or tight calf muscles. Paying attention to these early signals allows you to adjust activity, improve footwear, and explore gentle stretching before the pain becomes more persistent. Ignoring the issue can affect walking, balance, and overall mobility. Staying informed encourages quicker relief and helps protect the long-term health of your feet. If you have recurring heel pain or morning stiffness, it is suggested that you schedule an appointment with a podiatrist for appropriate guidance.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Edward Sharrer, DPM  from Premier Foot and Ankle Clinic. Our podiatrist can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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

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Understanding Diabetic Neuropathy

Diabetic neuropathy is a common complication of diabetes that affects the nerves in the feet and lower legs. Over time, elevated blood sugar levels can damage these nerves, leading to symptoms such as tingling, numbness, burning, or sharp pain. Some people notice a gradual loss of sensation, making it harder to feel temperature changes or small injuries. Others experience discomfort that interferes with sleep or daily activity. Because this condition develops slowly, many individuals do not realize the extent of the nerve damage until symptoms become more noticeable. Reduced sensation increases the risk of unnoticed cuts, blisters, or pressure points that can progress into serious wounds. Early detection and consistent foot care play a significant role in preventing complications. A podiatrist can identify changes, recommend protective strategies, and provide treatment options to manage symptoms and maintain foot health. If you are experiencing numbness or pain in your feet, it is suggested that you see a podiatrist for evaluation and appropriate care.

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 Edward Sharrer, DPM from Premier Foot and Ankle Clinic. Our podiatrist 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 North Little Rock, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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