Treatments

The Importance of Treating Diabetic Sores

For diabetic patients, it is very important to be careful about their wounds. Even a slight sore on the foot or a minor scratch can lead to an ulcer, eventually causing an amputation if the wound is not treated in time. Every thirty seconds due to reckless behavior; a diabetic person will unfortunately lose a lower limb. However, amputations can be avoided and prevented with proper medical and preventative foot care.


Renown Director of the Wound Healing Program at Columbia University, Dr. Harold Brem, states that it is easier to amputate than to avert the ulcer. In other words, in order to avoid an amputation, a diabetic patient must prevent foot wounds and sores. The question still remains is why do diabetic patients need to be more careful about their wounds? The answer to this is because diabetes slows down the blood flow in the body, which results in slowing down the process of wound healing. In addition, diabetic patients are more likely to have neuropathy, which reduces the sensation of feet or hands.


There are a few tips that should be strictly followed by people who have diabetes in order to prevent any kind of foot sores and wound complications. Keep the feet clean and wash them daily with mild water and soap and make sure that the temperature of the water is neither too hot nor too cold. Do not keep the feet wet or moistured, as it may breakdown the skin of the toes. At the same time, feet should not be kept too dry; otherwise, this may cause cracking of the skin. Use normal moisturizer or foot cream. Avoid tight shoes and stockings and opt for comfort.

Despite all of these precautions, if a patient manages to get a cut or a sore on their foot, they should see their Podiatrist or proceed to the nearest hospital emergency room because complications can develop rapidly.

Fungal toenail treatment

Laser therapy:

  • Safe, painless treatmet
  • No side effects or drugs
  • No liver enzyme test required
  • No recovery time, just walk-in and walk-out
  • Only 15 minutes required to treat toe nails on both feet
  • FDA approved

Laser therapy is proven to biostimulate tissue repair and promote growth when it comes to pain management and ugly, unsightly nail eradication. Laser therapy provides dramatic results, is non-addictive and virtually free of side effects. We have the latest technology for the treatment of toenail fungus.

What is Fungal Nail Infection?

  • Fungal nail infection, or onychomycosis, is an active infection that lives deep under the nail.
  • Fungal nail infection causes nails to become thick, flaky, brittle or discolored.

What causes a Fungal Nail Infection?

  • This infection is primarily caused by microorganisms called dermatophytes that live and grow deep down under the nails.
  • The dermatophytes get under the nails through breaks or cracks in the skin or nails.

Where did I get my Nail Infection?

  • Dermatophytes like warm, moist environments, so you may have gotten your fungal nail infection from a damp area where other people go barefoot.
  • You also may have picked up the infection from sharing unsterilized manicure or pedicure instruments that have been used on others with the infection.

How the Infection progresses?

  • After the dermatophytes invade the nail, they settle into and under the nail.
  • As the dermatophytes feed off the nail, they multiply and the live, growing infection may spread to other fingernails and toenails.
  • The infection will not go away on its own and will probably get worse if not treated effectively.
  • Foot and nail infections are especially hazardous if you have diabetes or other conditions that weaken the body’s ability to fight off these infections.

Can my Nail Infection be treated with home remedies?

  • Home remedies, such as bleach or vapor rub, won’t work.
  • Fungal Nail Infections cannot be treated effectively with over-the-counter medications.
  • The topical prescription may be difficult to use.

Treatment for Neuromas

A neuroma is an inflamed nerve in the foot. The most common place for a neuroma is between the third and fourth toes. The main nerve to your foot originates in the spine and travels down the back of the leg to the bottom of the foot and out to the toes.

When the nerve becomes irritated, electrical or burning pain shoots out to the toes. When walking, the second, third and fourth toes can become numb and there can be a sensation of walking on a lamp cord or a lump. Removing the shoe and massaging the ball of the foot can bring relief.

To help decrease the pain, try the following tips:

  • Rest. Every step you take aggravates the nerve. Decreasing the time on your feet will help decrease the inflammation. If you walk for exercise, try biking or swimming instead.
  • Avoid activities that aggravate the pain such as squatting, walking or running hills, climbing up and down stairs and carrying heavy items will increase the stress through the ball of the foot and irritate the nerve. Taking stress off the nerve will help decrease the irritation and decrease the inflammation and accelerate healing.
  • Wear low-heel shoes. Keep the heel height below 1 inch. Cowboy boots or high heeled dress shoes will place excessive pressure on the ball of the foot.
  • Wear shoes with a wide toe box. If the toes are cramped together, this places pressure on the nerve, worsening the irritation. your toes shoul have enough room to “wiggle.” Make sure you have them measure your feet when purchasing shoes.
  • Wear rigid shoes. Wearing flexible shoes increases the force placed through the ball of the foot. A rigid shoe with a rocker sole will decrease the pressure on the nerve.
  • Ice your foot. Placing ice on the ball of the foot for 20 minutes once or twice a day will decrease pain and inflammation.
  • Use contrast soaks. Start with 5 minutes of heat, then apply 5 minutes of ice, then switch back to heat and alternate for 20-30 minutes. Contrasting between hot and cold will help decrease the inflammation around the nerve.
  • Place a neuroma pad in your shoe. A neuroma pad (similar to a metatarsal pad) can be placed in the shoe under the ball of the foot. The pad lifts up the bones in the foot to help decrease the pressure on the nerve. The pad should be placed behind the ball of the foot.
  • Slip inserts into your shoe. Make sure the insert you buy is an orthotic. The device should be semi-rigid to help control motion in the foot. These can be purchased from your Podiatrist.
  • See your Podiatrist if the pain persists after taking these steps.

When you feel pain in the ball of your foot, your most likely suffering from Morton’s Neuroma. This is a condition wherein the nerve that leads to the toes becomes swollen or thickened. In some cases, it may feel like stinging pain, numbness, burning in the ball of the foot, or you may feel like you are standing on a marble or a pebble.Usually there are no visible signs of neuroma because this is not really a tumor. Morton’s Neuroma is a response to injury, irritation, or pressure to any of the nerves that lead to your toes. Because of this, the nerve tissues in the area become thickened over time, the pain increases with activity or when wearing shoes.

Wearing high heeled shoes, very tight shoes, or any pressure on the toes appear to increase the probability of developing a neuroma. People who are active in sports that involve running or jumping are also at greater risk, because of the constant pressure that is placed on the feet and toes. Other contributing factors are having bunions, hammertoes, flat feet and other foot deformities.

There are various methods of treatment available for Morton’s Neuroma. The basic management is to shift to footwear that wider toe boxes and adequate padding in the toe area. The pain and swelling may also be relieved by over the counter anti-inflammatory medications. If this does not work, your Podiatrist may inject antik-inflammatory drugs, corticosteroids, or prescribe other painkillers. However, pain medications are not recommended for long-term use. To help relieve the pain, custom shoe inserts and physical therapy may be recommended by the Podiatrist.

Ingrown Toenail Treatment

Ingrown toenails, commonly known as toenail overgrowth, is a painful toe condition.

It has three main causes: rounding the nail edges when cutting them or cutting the nails too short; wearing socks or shoes that are too tight and do not fit well. It starts with inflammation and pain at the point where the curling of the nail into the skin takes place. Later, the affected area starts to drain a yellowish fluid and extra tissue grows.

If an ingrown toenail is not treated early, it can result in an abscess or an infection that requires treatment. There are two main treatment methods recommended for ingrown toenails and these are either nail surgery or self-care treatment. Self-care treatment is the simplest treatment for Ingrown toenails. However, it is only applicable if the ingrown nail is at its’ early stage and the inflammation is mild. The self-care treatment involves wearing comfortable shoes that are not tight and have a round space around the nails; trimming the nails straight to prevent nail pieces piercing the surrounding skin; pushing the skin gently from the nail and practicing good foot hygiene.

On the other hand, if Ingrown Toenails are severe, then nail surgery becomes the best treatment plan. It involves two main options such as a partial nail avulsion or a total nail avulsion. Partial nail avulsion entails partly cutting a toenail. In most cases, it involves cutting of the toenail edges to make them straight and narrow. This is the most common surgical procedure used to treat ingrown toenails and is better than ninety percent effective. If the toenail is quite severe than a Total Nail Avulsion may be the best optional treatment method. It involves removing the entire toenail.