April 2024

Dactylitis, commonly known as hand-foot syndrome, and associated with sickle cell disease, or SCD, manifests as painful swelling and inflammation in the fingers and toes, primarily affecting children. The condition arises from obstructed blood flow due to sickle-shaped red blood cells, which leads to tissue damage and discomfort. Treatment focuses on managing SCD symptoms, including pain relief and anti-inflammatory measures. Podiatrists, specializing in foot health, play a vital role in dactylitis management. They diagnose the condition, implement tailored treatment plans, and offer preventive care strategies. Podiatrists educate patients and families on foot hygiene and hydration, minimizing the risk of flare-ups. Regular monitoring by podiatrists ensures early intervention and prevents long-term complications, improving overall quality of life for individuals affected by dactylitis. If your child suffers from dactylitis, it is suggested that you schedule regular appointments with a podiatrist for care.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact one of our doctors from New England Foot & Ankle . Our doctors will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

If you have any questions please feel free to contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Neuropathy, a condition often associated with diabetes but not exclusive to it, refers to nerve damage that can result in loss of sensation in the feet. Non-diabetic foot wounds stemming from neuropathy occur due to the inability to perceive pain or pressure, leading to unnoticed injuries that can worsen into ulcers. Without proper sensation, individuals may continue walking on injured feet, exacerbating the wounds. Podiatrists play an important role in managing these ulcers by conducting thorough assessments to determine the extent of damage, implementing preventive measures to alleviate pressure on affected areas, and initiating treatment plans tailored to individual needs. This may involve wound care, infection management, offloading techniques to reduce pressure on the wound site, and patient education on foot care practices to prevent further complications. If you have a foot wound of any type, it is suggested that you schedule an appointment with a podiatrist for immediate treatment.

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 one of our doctors from New England Foot & Ankle . Our doctors 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 our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot blisters, fluid-filled sacs on the skin's surface, often result from friction, moisture, or wearing poorly fitting footwear. They commonly occur in areas prone to rubbing or pressure, like heels or toes. People who have diabetes or peripheral neuropathy may not notice a blister has formed, due to a lack of sensation. Complications may include infection if not properly cared for, particularly in those with weakened immune systems. Prevention includes wearing well-fitting shoes, using moisture-wicking socks, and applying lubricants or blister pads. If blisters persist or become infected, it is suggested that you schedule an appointment with a podiatrist for proper assessment and safe treatment, which could involve draining large blisters or prescribing antibiotics for infections.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact one of our doctors of New England Foot & Ankle . Our doctors can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

If you have any questions, please feel free to contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A broken ankle, or ankle fracture, occurs when one or more of the bones making up the ankle joint break. This injury often happens due to trauma, such as twisting the ankle during a fall, sports injury, or car accident. Symptoms of a broken ankle include severe pain, swelling, bruising, inability to bear weight, and deformity of the ankle joint. Early intervention by a podiatrist is essential to properly diagnose and treat the fracture. Treatment typically involves immobilization of the ankle with a cast or brace to allow the bones to heal properly. In some cases, surgery may be necessary to realign the bones or stabilize the fracture with hardware. While recovery time varies depending on the severity of the injury, rehabilitation is often recommended to restore strength, flexibility, and function to the ankle joint. If you have sustained an ankle fracture, it is strongly suggested that you schedule an appointment with a podiatrist for proper treatment and rehabilitation, for the best possible outcome with minimal complications.

Broken ankles need immediate treatment. If you are seeking treatment, contact one of our doctors from New England Foot & Ankle . Our doctors can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
•  Swelling around the area
•  Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

If you have any questions, please feel free to contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Stretching the feet regularly can play a significant role in preventing foot and ankle problems and maintaining overall foot health. Targeted stretches such as toe splays, Achilles stretches, and big toe stretches help improve flexibility, strengthen muscles, and reduce tension in the feet and ankles. Toe splays involve spreading the toes apart to alleviate tightness and improve mobility. Achilles stretches target the calf muscles and Achilles tendon, enhancing the range of motion and reducing strain on the heel. Big toe stretches help maintain flexibility in the joint, promoting proper gait mechanics and preventing conditions like bunions and plantar fasciitis. A podiatrist can offer valuable guidance on appropriate stretching techniques and recommend a personalized stretching routine based on individual needs and existing foot issues.  Additionally, podiatrists can assess biomechanical imbalances and provide custom orthotics or other interventions to complement stretching exercises and optimize foot health. If you would like to learn more about maintaining good foot and ankle health, including stretching, it is suggested that you schedule an appointment with a podiatrist to discuss this further.

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with one of our doctors from New England Foot & Ankle . Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

• Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
• Similar to the previous one, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
• Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
• Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising and ice and rest the foot. It is advised to then see a podiatrist for help.

If you have any questions, please feel free to contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.