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Tuesday, 08 July 2025 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.
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Tuesday, 01 July 2025 00:00
Matching the Shoe With the Sport
Wearing shoes specific to the sport you are playing can help avoid foot, toe, or ankle injuries. Sports shoes are designed to combine cushioning, flexibility, fit, and traction suited to each sport’s demands. For instance, court shoes for tennis or pickleball include rounded midsoles, and firm outward ridges along the shoe edge that improve side‑to‑side stability. Their midfoot support and herringbone-pattern outsoles help to grip hard court surfaces during pivots. In contrast, running shoes are designed for forward motion with vertical edges and soft midsoles. This shoe would increase the risk of lateral ankle sprains and Achilles tendon injuries when worn in court sports. Basketball shoes vary from low-top styles that enhance speed and ankle muscle activation, to high-top versions that offer extra protection during rebounds. Traction patterns and midfoot reinforcements under the arch help to limit twisting during quick cuts. Cleats for soccer, football, and lacrosse use strategic stud placements and carbon-fiber outsoles for grip in multidirectional movement. Additionally, golf shoes feature spikes or hybrid soles and plates to steady the stance through swings. A podiatrist can evaluate your foot structure, sport requirements, and shoe features to recommend proper footwear. If you are experiencing foot pain after sports activity, it is suggested that you schedule an appointment with a podiatrist for advice and relief tips.
It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact Melissa C. Verde, DPM from Florida. Our doctor will treat your foot and ankle needs.
Proper Shoe Fitting
Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.
Tips for Proper Shoe Fitting
- Select a shoe that is shaped like your foot
- Don’t buy shoes that fit too tight, expecting them to stretch to fit
- Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
- Walk in the shoes to make sure they fit and feel right
- Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot
The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.
If you have any questions, please feel free to contact our office located in Longwood, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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Tuesday, 01 July 2025 00:00
Getting the Right Shoe Size: To Keep Your Feet Happy
People are constantly wearing improperly-fitting shoes. Though it isn’t hard, picking the right shoes does require keeping a few things in mind.
Shoe stores have rulers so you can get an exact measurement of your feet. Be sure to always measure your feet with your shoes on. Measuring just your foot will give you a shoe size that is 1-2 inches too small for picking the right size shoe.
To ensure that your toes won’t be cramped, make sure there is wiggle room. Approximately one inch should be between your toes and the tip of your shoe. It is easy to tell if your shoes are too tight, because you will start to experience pain, blisters, and swelling.
Additionally, do not always assume your shoe size will be the same at every store. Manufacturers sometimes run differently, and your size will vary from brand to brand. Make sure the stores you purchase from have return policies, in case there is a problem.
Rather than shoe shopping in the morning, it is advised to shop for shoes later in the day. Your feet will swell as the day passes. If shoes are purchased in the morning, they may not be as snug as they should be. Furthermore, not all two feet are the same size. Therefore, accommodations may be necessary.
An overall concern in buying shoes is making sure they are comfortable and supportive. There is no such thing as a shoe being ‘broken in’. If they are uncomfortable at the store, they likely will always be uncomfortable.
Since we do a lot of walking, it is important that we pick the right shoes. Our feet will benefit from this, and we will be happier and healthier because of it.
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Tuesday, 24 June 2025 00:00
Testing for Peripheral Artery Disease
Peripheral artery disease, or PAD, is a condition in which narrowed arteries reduce blood flow to the lower limbs, particularly the feet and toes. This can cause pain while walking, slower healing of foot wounds, skin discoloration, and a sensation of cold feet. Testing for PAD typically begins with a podiatrist examining the feet for poor circulation, weak pulses, or changes in skin texture. One common diagnostic tool is the ankle-brachial index, which compares blood pressure at the ankle and the arm to assess blood flow. Additional testing, such as Doppler ultrasound, may be used to detect blocked or narrowed arteries in the lower legs. Identifying PAD early is important to help avoid more serious complications, such as infected ulcers or the need for surgery. People with diabetes, high cholesterol, or a history of smoking may be more likely to develop this condition. If you have symptoms of peripheral artery disease, it is suggested that you schedule an appointment with a podiatrist for a diagnostic testing and suggested treatment.
Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with Melissa C. Verde, DPM from Florida. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Vascular Testing?
Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.
How Is it Conducted?
Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.
The most common tests include:
- Ankle-Brachial Index (ABI) examination
- Doppler examination
- Pedal pulses
These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.
If you have any questions, please feel free to contact our office located in Longwood, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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Tuesday, 24 June 2025 00:00
Vascular Testing in Podiatry
In foot care, vascular testing may be required in the diagnosing and treatment of certain podiatric conditions. Vascular testing is particularly relevant for patients with high-risk diabetes, poor circulation, peripheral artery disease (PAD), and chronic venous insufficiency (CVI). Procedures typically involve the examination of blood vessels throughout the body for blockages or buildup.
Vascular testing is very important for the diagnosis of various conditions, including peripheral artery disease and chronic venous insufficiency, as these conditions can greatly affect one’s quality of life and cause pain in the lower limbs. Circulatory problems in the feet and ankles can reflect issues throughout the body, making testing of the blood vessels pertinent.
Testing methods vary between practitioners and can be specific to certain foot and ankle problems. Modern technology has brought about the ability to perform vascular testing using non-invasive methods, such as the cuff-based PADnet testing device. This device records the Ankle-Brachial Index (ABI)/Toe-Brachial Index (TBI) values and Pulse Volume Recording (PVR) waveforms. Contact your podiatrist to determine what vascular testing is available for your needs.
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Tuesday, 17 June 2025 00:00
Causes of Ankle Pain While Walking
Ankle pain when walking can result from injuries, overuse, or underlying conditions that affect the foot and ankle structure. Common causes include sprains, which involve stretched or torn ligaments, and fractures, where one or more ankle bones break and may shift out of place. Overuse injuries such as tendonitis, bursitis, and plantar fasciitis often develop gradually and worsen with continued walking. Conditions like arthritis, gout, or posterior tibial tendon dysfunction can also cause ankle pain, stiffness, and reduced mobility. A podiatrist can perform a thorough physical exam, review your medical history, and use diagnostic tools such as X-rays or MRI scans to identify the source of ankle pain. Treatment options include supportive bracing, shoe modifications, and injections. In some cases, surgery may be needed to repair damaged tendons, realign bones, or even replace the ankle joint. If you are experiencing pain while walking, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.
Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Melissa C. Verde, DPM from Florida. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.
Causes
The most common causes of ankle pain include:
- Types of arthritis (rheumatoid, osteoarthritis, and gout)
- Ankle sprains
- Broken ankles
- Achilles tendonitis
- Achilles tendon rupture
- Stress fractures
- Bursitis
- Tarsal tunnel syndrome
- Plantar fasciitis
Symptoms
Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.
Diagnosis
Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.
Treatment
Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.
If you have any questions, please feel free to contact our office located in Longwood, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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Tuesday, 17 June 2025 00:00
Various Causes of Ankle Pain
Ankles are joints that connect bones in the feet with bones in the lower leg. They are comprised of bones, ligaments, muscles, tendons, blood vessels, and nerves. The ankle joint allows the foot to move side-to-side, as well as up-and-down.
Ankle pain can be caused by a variety of conditions, but is most commonly due to soft tissue injuries such as ankle sprains and strains.
An ankle sprain occurs when one or more of the strong ligaments that support and stabilize the ankle become overly stretched or even torn if the ankle rolls, turns, or twists awkwardly. Depending on the grade of sprain (mild-moderate-severe), there will be varying degrees of pain, swelling, and restricted range of motion, along with tenderness, bruising, and ankle instability. There may even be an audible popping noise at the moment of injury.
Ankle strains can sometimes produce similar symptoms of pain, swelling, and loss of motion, however, they are due to overly stretched muscles and tendons—not ligaments. Ankle strains may also cause muscle cramps in the feet, calves and shins.
Ankle fractures are another common source of ankle pain and occur one or more of the three bones in the ankle become fractured (broken). These breaks can be stress fractures (due to repetitive stress) or traumatic fractures (due to an acute injury). Depending on where and how severe the fracture is, symptoms can include pain and swelling that can sometimes spread up to the knee, bruising or discoloration, and an inability to bear weight. A visible deformity or exposed bone may occur in severe fractures.
Various forms of arthritis may also cause ankle pain. Rheumatoid arthritis (RA) causes the immune system to attack healthy joints, like the ankle joint, by mistake, causing stiffness and swelling in both ankles. Osteoarthritis occurs when cartilage covering the ends of bones wears down, causing the bones to rub against each other. This results in pain, stiffness, and reduced range of motion in the ankle. Gout is a form of arthritis where excess amounts of uric acid in the bloodstream crystallize and build up on joints, causing severe pain and swelling. Reactive arthritis causes joint pain and swelling in the ankle in response to an infection in another part of the body.
Other forms of ankle pain include bursitis (an inflammation of a cushioning bursa sac between tendons and bone), scleroderma (a thickening of connective tissues), chronic ankle instability (caused by improperly healed ankle sprains), Achilles tendon injuries, flat feet, or an infection in the ankle.
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Tuesday, 10 June 2025 00:00
Understanding Foot Neuropathy
Foot neuropathy is a condition that results from damage to the peripheral nerves in the lower extremities, leading to symptoms such as burning, tingling, numbness, or sharp pain in the feet. It can be caused by diabetes, alcohol abuse, infections, trauma, or exposure to certain toxins. Risk factors include poor blood sugar control, vitamin deficiencies, and underlying medical conditions, such as kidney disease or autoimmune disorders. The symptoms often begin gradually and may affect balance or increase the risk of falls and injury. A podiatrist plays an essential role in diagnosing the condition through physical exams and nerve testing. If you have symptoms of foot neuropathy, it is suggested that you consult a podiatrist. This type of doctor offers treatment plans that may include medication, lifestyle guidance, footwear recommendations, and regular monitoring to help reduce symptoms and prevent further nerve damage.
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 Melissa C. Verde, DPM from Florida. 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 Longwood, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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Tuesday, 10 June 2025 00:00
Neuropathy
Neuropathy is a condition in which the nerves in the body become damaged from a number of different illnesses. Nerves from any part of the body, including the foot, can be damaged. There are several forms of neuropathy including peripheral neuropathy, cranial neuropathy, focal neuropathy, and autonomic neuropathy. Furthermore there is also mononeuropathy and polyneuropathy. Mononeuropathies affect one nerve while polyneuropathies affect several nerves. Causes of neuropathy include physical injury, diseases, cancers, infections, diabetes, toxic substances, and disorders. It is peripheral neuropathy that affects the feet.
The symptoms of neuropathy vary greatly and can be minor such as numbness, sensation loss, prickling, and tingling sensations. More painful symptoms include throbbing, burning, freezing, and sharp pains. The most severe symptoms can be muscle weakness/paralysis, problems with coordination, and falling.
Podiatrists rely upon a full medical history and a neurological examination to diagnose peripheral neuropathy in the foot. More tests that may be used include nerve function tests to test nerve damage, blood tests to detect diabetes or vitamin deficiencies. Imaging tests, such as CT or MRI scans, might be used to look for abnormalities, and finally nerve or skin biopsies could also be taken.
Treatment depends upon the causes of neuropathy. If the neuropathy was caused by vitamin deficiency, diabetes, infection, or toxic substances, addressing those conditions can lead to the nerve healing and sensation returning to the area. However if the nerve has died, then sensation may never come back to the area. Pain medication may be prescribed for less serious symptoms. Topical creams may also be tried to bring back sensation. Electrical nerve stimulation may be used for a period of time to stimulate nerves. Physical therapy can strengthen muscle and improve movement. Finally surgery might be necessary if pressure on the nerve is causing the neuropathy.
If you are experiencing sensation loss, numbness, tingling, or burning sensations in your feet, you may be experiencing neuropathy. Be sure to talk to a podiatrist to be diagnosed right away.
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Wednesday, 04 June 2025 00:00
Heel Pain in the Morning?
Heel pain can negatively affect your day-to-day life. Simple activities like walking can become incredibly uncomfortable or painful due to heel pain.
Don’t live with heel pain and get treated.
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