The surge in global diabetes has led to a rise in diabetic foot ulcers, posing significant health challenges. In the mid-19th century, Marchal de Calvi and Thomas Hodgkin identified the link between diabetes and foot gangrene, paving the way for pioneering treatments like Frederick Treves' sharp debridement method. Treves emphasized pressure relief and patient education. The discovery of insulin in the 20th century improved diabetic patients' lives but also increased foot disease cases. Elliot Joslin established the first foot clinic in 1928, advocating a multidisciplinary approach. Penicillin's discovery in 1928 revolutionized infection treatment, reducing amputation rates. Revascularization techniques and limb salvage became critical, with Frank Wheelock pioneering bypass grafts. Topical negative pressure therapy emerged in the 1990s, aiding wound healing. Despite advancements, chronic diabetic ulcers remain a challenge, with ongoing research for new treatments. Current treatment involves a multidisciplinary approach, controlling diabetes, and utilizing various wound care methods. Challenges persist, underscoring the importance of diabetics scheduling routine appointments with a podiatrist for foot examinations and specialized care.

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.

Vitamin B-3, also known as niacin, plays a vital role in maintaining healthy skin and overall well-being. A deficiency in this essential nutrient can lead to various skin issues, including cracked heels. Cracked heels, characterized by dry, fissured skin around the edges of the heel, often result from inadequate moisture retention and weakened skin integrity. Vitamin B-3 deficiency exacerbates this condition by impairing the skin's ability to retain moisture and regenerate cells effectively. Incorporating niacin-rich foods such as meat, fish, nuts, and fortified cereals into the diet can help prevent vitamin B-3 deficiency and alleviate cracked heels. Understanding the connection between vitamin B-3 deficiency and cracked heels underscores the importance of maintaining a balanced diet and proper skin care regimen for optimal foot health. If you have developed cracked heels, it is suggested that you consult a podiatrist for successful treatment methods, in addition to determining if there is an adequate amount of vitamin B-3 in your daily food intake, and how it may relate to cracked heels.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Dr. Ronald K. Olm from Grand Traverse Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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.

Toenail fungus, medically termed onychomycosis or tinea unguium, is a common fungal infection that affects approximately 14 percent of people, as reported by the Centers for Disease Control and Prevention. While typically not a serious health concern, toenail fungus can cause cosmetic issues as well as discomfort. There are various types of toenail fungus, each with distinct characteristics in symptoms and appearance. The most prevalent form is subungual onychomycosis, characterized by nail lifting, discoloration, and crumbling of the toenail. White superficial onychomycosis causes white, flaky patches on the nail surface, potentially progressing to rough and crumbly nails. Candida onychomycosis, caused by yeast, is more common in individuals with conditions like diabetes or compromised immune systems. This type of toenail fungus shows symptoms such as rough nails, surface breakdown, and soft tissue infection. An accurate diagnosis by a podiatrist is essential to determine the type of toenail fungus you may have incurred. With proper care and timely intervention, toenail fungus can be effectively managed. If you suspect you have a toenail fungus, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options appropriate to the cause.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Dr. Ronald K. Olm of Grand Traverse Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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.

Plantar fasciitis, a common and painful foot condition, is influenced by various risk factors. Age plays a role, with the condition being more prevalent in individuals between 40 and 60 years old, as the plantar fascia tends to lose elasticity with age. Engaging in high-impact activities, like running or dancing, can strain the plantar fascia, making physical activity another risk factor. Abnormal foot mechanics, such as flat feet or high arches, alter the distribution of pressure on the plantar fascia, increasing the risk. Obesity adds extra stress to the feet and can lead to plantar fasciitis, while jobs requiring prolonged standing or walking on hard surfaces can also contribute. Improper footwear choices lacking arch support or cushioning can strain the plantar fascia, as does having a tight Achilles tendon. Finally, sudden increases in physical activity intensity or duration can overload the plantar fascia, causing inflammation. If you have heel pain that does not abate, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment options that are appropriate for you.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Ronald K. Olm  from Grand Traverse Foot & Ankle Center. Our doctor 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 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.

Toenail fungus, or onychomycosis, affects many people, causing thickened, crumbling, and discolored nails. While traditional treatments have limitations, laser therapy has emerged as a promising solution. Laser treatment for fungal toenails shows potential in inhibiting fungal growth and clearing infections. This option is particularly beneficial for individuals with kidney or liver disease, diabetes, or medication intolerance. Experts stress early intervention to prevent the spread of toenail fungus to other body areas. Laser treatment typically involves two sessions, with results becoming apparent in approximately two months. Comprehensive treatment covers all nails in the affected area, and is often complemented by topical creams for enhanced efficacy. Patience is an important factor in recovery from fungal toenail infections. Toenails may require up to 18 months for the nail to completely grow out. Laser treatment provides a ray of hope for those with persistent fungal nail infections. To find out more about treating toenail fungus, it is suggested that you consult a podiatrist.

Laser treatment can be an effective way to get rid of toenail fungus. If you have any questions about laser treatment, consult with Dr. Ronald K. Olm from Grand Traverse Foot & Ankle Center. Our doctor will assess your condition and provide you with quality treatment for fungal nails.

What Are Toenail Fungal Infections?

Onychomycosis, or fungal infection of the nail, is a relatively common and non-serious condition. Around 10 percent of U.S. citizens are afflicted with fungal nails. Common forms of fungus that infect the nail include dermatophytes, yeasts, and molds.

Symptoms of Toenail Fungal Infections Include:

• Nail thickening
• Brittleness of the nail
• Discoloration of the nail

Diagnosis for Fungal Nails

Fungal infections are diagnosed by fungal culture and microscopy. This will rule out any other conditions such as nail trauma, psoriasis, lichen planus, and onychogryphosis.

What Is Laser Treatment?

Laser treatment is a non-invasive, safe, quick, and painless procedure that uses the heat from a laser to kill fungus in the nail. Each infected nail is targeted with a laser for several minutes. The treatment is usually utilized several different times over a select period. During this time, a podiatrist will keep an eye on the infection.

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.