Negative Pressure Wound Therapy, or NPWT, is a versatile technique that aids wound healing by applying a kind of sub-atmospheric pressure. It is used for complex, non-healing wounds such as diabetic foot ulcers. Implementing NPWT involves placing a porous foam dressing on the wound and applying continuous or intermittent suction to create sub-atmospheric pressure. NPWT is suitable for wounds ranging from open fractures to surgical incisions. The skin's healing process involves acute and chronic phases, with NPWT optimizing these phases. Indications for NPWT include traumatic wounds, wounds that have separated, and skin grafts. Proper preparation and technique are crucial, and closed wounds may be managed outside the operating room, while open wounds require surgical preparation. Complications can include pain, bleeding, infection, foam retention, and loss of suction. Despite challenges, NPWT is a valuable tool in wound care. If you have foot wounds, it is suggested that you make an appointment with a podiatrist to speak about the possibility of this therapy being correct for you.
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. Ronald K. Olm from Grand Traverse Foot & Ankle Center. 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 one of our offices located in Traverse City and Kalkaska, MI. We offer the newest diagnostic and treatment technologies for all your foot care needs.
Losing a limb, particularly a lower extremity, is one of the greatest risks derived from diabetic foot ulcers. Preventing such a drastic outcome starts with undergoing an annual foot screening for those who have lost protective sensation in their feet. Next, experts believe that simple self-care techniques can allow patients to assume a certain amount of responsibility for their foot health. Knowledge of proper foot care and daily habits can go a long way in preserving limb health. This includes daily self-inspection. Regular and thorough self-examinations are critical for identifying early signs of foot injuries, calluses, or nail problems. By detecting issues such as blisters, redness, cracked skin, swelling, or abnormalities in their early stages, patients can prevent these problems from progressing into more severe conditions. Further, ill-fitting shoes that can make diabetic foot conditions worse include narrow-toed shoes, high heels, flip flops, or shoes that are too loose or tight. Timely intervention can help to prevent these issues from escalating into dire complications. If you are at risk for diabetic ulcers, it is suggested that you add a podiatrist to your medical team.
Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with Dr. Ronald K. Olm from Grand Traverse Foot & Ankle Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Limb Salvage?
Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.
However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.
Diagnosis and Treatment
Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated.
If you have any questions, please feel free to contact one of our offices located in Traverse City and Kalkaska, MI. We offer the newest diagnostic and treatment technologies for all your foot care needs.
Flat feet, resulting from a collapsed arch, can lead to pain and discomfort, affecting both children and adults. When non-surgical approaches fall short, surgical intervention offers a viable solution. Surgery for flat feet aims to reconstruct the foot's architecture to restore a supportive arch and alleviate complications like change of gait, knee pain, plantar fasciitis, and Achilles tendonitis. An evaluation before surgery involves a thorough history, examination, and imaging. Surgical intervention may involve tendon reconstruction, bone augmentation, joint fusion, or bone resection. Post-surgery recovery may take up to four months and requires keeping the weight off the affected foot as well as taking prescribed pain relief medication. A protective cast or boot may be needed. Surgical treatment for flat feet, while not necessary in many cases, offers an opportunity to regain mobility, alleviate pain, and enhance overall quality of life. To find out if surgery for flat feet is right for you, it is suggested that you make an appointment with a podiatrist for a full examination.
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 one of our offices located in Traverse City and Kalkaska, MI. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.
