Diabetic limb salvage is an approach used to protect a foot or limb when diabetes has caused a wound, infection, or tissue damage. The goal is to save as much tissue as possible and prevent loss of limb when appropriate. Diabetes can reduce sensation and slow healing, so small problems may become severe before they are noticed. Warning signs can include an open sore, redness, or increasing pain.

Several factors can increase the need for diabetic limb salvage. High blood sugar can damage nerves and blood vessels. Reduced sensation can make it difficult to feel an injury. Poor circulation may limit oxygen and nutrients needed for healing. Infection can also spread into deeper tissues or bone. A history of foot ulcers, previous limb loss, kidney disease, or smoking may increase risk. Prompt evaluation is important when a wound does not heal normally.

Diabetic limb salvage may involve several steps based on the person’s condition. A podiatrist may examine the wound, check circulation, and order imaging tests. Treatment may include wound cleaning, removal of damaged tissue, and protective dressings. Some patients may need vascular care or surgery to improve blood flow or remove infected tissue while preserving healthy structures. This approach can be life-changing because saving a limb may support mobility, independence, and activities.

Healing requires careful follow-up and foot protection. A podiatrist may monitor the wound regularly and adjust treatment based on improvement. Patients may also receive guidance about blood sugar control, footwear, and daily foot checks. Early care can make an important difference when diabetes threatens the health of a foot or limb. If you have severe foot complications from diabetes, it is suggested that you are under the care of a podiatrist who can discuss the pros and cons of diabetic limb salvage with you. 

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 Philip C. Caswell, DPM from Family Foot & Ankle Care. 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 our office located in Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Swollen feet can develop after a long day of standing or walking, but swelling that persists may need medical attention. The buildup of fluid in body tissues is called edema. Gravity can pull blood toward the lower legs, allowing fluid to enter the feet and ankles. Pregnancy and medicines can also cause swelling. In other cases, swollen feet can point to an injury, infection, or problem with blood flow. Heart, kidney, and liver conditions can also affect how the body handles fluid. Identifying the cause is important because treatment depends on the cause of the swelling.

The location and timing of swelling can offer clues. Swelling after an injury can occur with a sprain, fracture, or tendon problem. Redness, warmth, and tenderness can signal an infection. Sudden swelling in one leg can be linked to a blood clot in a deep vein and requires prompt medical attention. Seek emergency care when swelling occurs with chest pain, trouble breathing, or faintness. Severe swelling in pregnancy also needs prompt evaluation. Other warning signs include skin discoloration, an open wound, or an indentation that remains after pressing the area. Swelling that lasts several days or keeps returning should not be ignored.

A podiatrist can examine the feet to learn whether the problem begins in bones, joints, or soft tissues. The evaluation includes questions about when swelling started and whether one or both feet are affected. The podiatrist can check the skin, circulation, and affected areas. Treatment is based on the cause and can include protecting an injury, managing an infection, or reducing pressure on a painful area. Orthotics or wearing properly-fitted shoes can improve support when foot structure contributes to discomfort. If you have discomfort from swollen feet or ankles, it is suggested that you schedule an appointment with a podiatrist to identify the cause and get effective relief.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Philip C. Caswell, DPM of Family Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please contact our office located in Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Flat feet and overpronation are both similar and different. Flat feet are about what your foot looks like at rest, while overpronation is about how your foot behaves in motion. Although they may look the same, they function differently. Flat feet occur when the sole contacts the ground when you stand. Overpronation happens when the feet roll inward too much while standing or walking. This may cause pain, fatigue, or heaviness in the feet. Symptoms may become noticeable after long periods of standing, walking, or exercise. 

Flat feet can develop naturally during childhood or result from changes in the bones, muscles, or ligaments. Aging, injury, and certain health conditions may increase risk. Wearing unsupportive shoes may contribute to discomfort when the feet lack support. Overpronation can place additional stress on the arches and ankles. Common symptoms include aching arches, tired feet, and discomfort during activity. Some people may also notice uneven shoe wear or difficulty standing for extended periods of time.

A podiatrist can determine whether flat feet or overpronation are contributing to symptoms. The evaluation may include examining foot alignment, checking the arches while standing, and observing walking patterns. The podiatrist may assess joint movement and muscle strength, as well. Treatment depends on the cause and severity of symptoms. Recommendations may include supportive footwear, custom orthotics, or other conservative care. If structural problems are significant, the podiatrist can discuss additional treatment options based on your needs.

You do not always need treatment simply because you have flat feet. However, persistent pain or fatigue deserves attention when symptoms interfere with normal activities. Early evaluation can identify contributing factors and help protect comfortable movement. Supportive shoes and appropriate foot care may reduce strain during daily activities. If you have flat feet, it is suggested that you consult a podiatrist for effective relief and management solutions. 

Flatfoot is a condition many people suffer from. If you have flat feet, contact Philip C. Caswell, DPM from Family Foot & Ankle Care. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

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 our office located in Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Starting to run is easier when shoes fit well and match your needs. A beginner does not need the most expensive pair, but comfort and proper support are important. Running shoes should feel secure around the heel without rubbing or slipping. The toe box should provide enough space for the toes to spread without pressing against the front. Since feet can swell while running, a thumb’s width of space beyond the longest toe is helpful. Shop for shoes later in the day, when the feet are slightly larger. Try on both shoes with the type of socks you plan to use for running.

Running shoes are made with different levels of cushioning, flexibility, and support. The right features depend on your foot shape and how your feet move. Some runners have arches that flatten too much with each step, while others have high arches that absorb less shock. Consider the surfaces where you plan to run. Road-running shoes are designed for pavement and other smooth surfaces. Trail-running shoes provide added grip for dirt paths, rocks, and uneven ground. Replace shoes when the soles become worn, cushioning feels flat, or new pain develops.

A podiatrist can examine your feet and evaluate how you stand, walk, and run. This assessment can identify flat feet, high arches, or unusual foot movement that may raise the risk of injury. Custom orthotics may also be prescribed to improve support and control harmful movement inside the shoe. New runners should increase their distance gradually and pay attention to persistent discomfort. Pain in the heel, arch, or ankle can indicate that the shoes do not fit correctly. It can also signal an injury that needs professional care. If your feet hurt after running, it is suggested that you consult a podiatrist who can offer effective treatment solutions and additional guidance on how to choose running shoes that are right for you.

For more information about walking shoes versus running shoes, consult with Philip C. Caswell, DPM from Family Foot & Ankle Care. Our doctor can measure your feet to determine what your needs are and help you find an appropriate pair of footwear.

Foot Health: The Differences between Walking & Running Shoes

There are great ways to stay in shape: running and walking are two great exercises to a healthy lifestyle. It is important to know that running shoes and walking shoes are not interchangeable. There is a key difference on how the feet hit the ground when someone is running or walking. This is why one should be aware that a shoe is designed differently for each activity.

You may be asking yourself what the real differences are between walking and running shoes and the answers may shock you.

Differences

Walking doesn’t involve as much stress or impact on the feet as running does. However, this doesn’t mean that you should be any less prepared. When you’re walking, you land on your heels and have your foot roll forward. This rolling motion requires additional support to the feet.

Flexibility – Walking shoes are designed to have soft, flexible soles. This allows the walker to push off easily with each step.

If you have any questions, please feel free to contact our office located in Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.