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Posts for tag: Ulcers

By Mid-Michigan Foot & Ankle Center
March 21, 2018
Category: Diabetic Feet
Tags: Diabetes   Ulcers   Injury   podiatrist   peripheral neuropathy   soak   wound  

People who suffer from diabetes are at a very high risk of receiving foot ulcers. This is because some people who suffer from diabetes also suffer from peripheral neuropathy and other conditions that cause a lack of sensation in the feet. This lack of sensation makes it so it is hard for a diabetic patient to feel pain and other injuries occur on their feet.  If you do not have diabetes, you can still receive an ulcer on your foot, but it is more likely to be found immediately due to the ability to clearly feel the injury and pain. If you do find an ulcer on your feet it is important that you make an appointment to see a podiatrist immediately. A podiatrist will clean and disinfect the ulcer so that an infection does not appear and spread. Wondering how they might do it? Here are the basic steps a podiatrist may take to clean your ulcer and protect it from further harm.

  1. Your podiatrist will find the ulcer.
  2. Next, your podiatrist will measure your ulcer. They want to know how large it is and will continue to measure it to be sure it is not growing in size.
  3. Clean your feet. Your podiatrist will clean out the ulcer in their office. They will take disinfectant and gently wash out the ulcer. In order to keep it clean, you may have to soak your feet at home in between appointments. This allows them to be cleaned out and helps speed up the healing process.
  4. A podiatrist will then apply a healing ointment to help the ulcer heal.
  5. After the ointment is applied, a podiatrist or his assistant will put on gauze or another type of dressing to cover up the ulcer so dirt, debris, and other bacteria cannot reach the ulcer.
  6. The gauze will be adhered to the foot with silk tape or medical tape. If the gauze moves around it can irritate the ulcer or allow for bacteria to enter the wound.
  7. In between appointments be sure to change your dressing or bandage multiple times a day. If the ulcer is stuck in the same bandaging or dressing, it will fester due to the bacteria that is built up and rubbing it.
  8. Use a sock to slip over the bandaging or dressing. This secures the dressing and makes sure it does not come loose.

If you find an ulcer on your foot, you should see a podiatrist right away. While it is proactive to clean the ulcer, it is imperative that it is seen by a medical professional to be sure there is no underlying cause or infection that could cause greater damage. Call Dr. Andrew H. Cohen, of Mid-Michigan Foot & Ankle Center, located in Saginaw and Bay City, Michigan. Call 989-790-8009 or make an appointment online today. When it comes to wound care, we are the best.

By Mid-Michigan Foot & Ankle Center
January 25, 2018
Category: Foot Conditions
Tags: Diabetes   Gout   Ulcers   arch   purine   conditions  

Our feet are amazing, not only because they get us from place to place, but also because they can alert us to underlying health conditions we may never knew we had. Some of the simplest signs can lead to a much more involved diagnosis. Read more to see what your feet are trying to tell you.

Dry Flaky Feet

Dry flaky feet can be a sign of a thyroid problem, especially if moisturizer doesn’t help. When the thyroid gland stops working properly, it doesn’t produce the right amount of thyroid hormones. This means that metabolic rate, blood pressure, tissue growth, and skeletal and nervous system development can all get out of whack.

Bald toes

Bald toes can be a sign of arterial disease. If the fuzz on your toes suddenly disappears, it could signal poor blood circulation caused by peripheral arterial disease (PAD).

Ulcers that don’t heal

Ulcers on the feet that don’t heal are a sign of diabetes. Uncontrolled sugar levels can damage nerves and cause poor circulation which is a recipe for foot ulcers.

Enlarged, painful big toe

Swollen and painful big toes can be a sign of gout. Think back to what you have eaten recently. Foods high in uric acids such as alcohol and steak can lead to gout if too much is consumed. Gout is a type of arthritis that usually affects the joint of the big toe. Foods high in purine, a chemical compound found in red meats, fish, and certain alcohol, can trigger an attack by raising levels of uric acid in the body. Uric acid is normally excreted in urine but is either overproduced or under-excreted in some people.

A suddenly high arch

Is your arch very high all of a sudden? It could be a sign of nerve damage. Most high-arched feet are associated with some form of underlying neuromuscular condition.

If you have any symptom listed above on your feet, it is important to see a podiatrist right away. Many of these underlying conditions can be severe if not treated properly. Call Dr. Andrew H. Cohen of Mid-Michigan Foot & Ankle Center, located in Saginaw and Bay City, Michigan. Call 989-790-8009 or make an appointment online today. The health of your feet can tell you about the health of your body overall.

By Mid-Michigan Foot & Ankle Center
April 06, 2017
Category: Diabetic Feet
Tags: Ingrown Toenails   Ulcers   wounds   Charcot Foot  

Diabetic Risks for Diabetic Feet

  • A small blister simply from wearing the wrong shoe can seriously damage your foot.
  • Injuries heal very slowly and can become infected quickly.
  • If you forget to inspect your feet daily and miss something there can be serious consequences.

Taking Good Care

  • Trim your toenails straight across the top of your toe to avoid ingrown toenails.
  • Use a quality skin lotion to keep your feet soft and moist but avoid leaving any in-between your toes.
  • When purchasing your shoes, consider how they fit without having to break them in. They should be made of soft leather and fit loosely as to not contribute to poor circulation.
  • If your feet become numb, there is a high risk of developing Charcot foot which occurs in people who have neuropathy. It effects the bones and can ultimately change the shape of your foot.
  • Because circulation is a large concern with diabetes, make sure your socks are not restricting blood flow. Try square-toe socks and avoid elastic tops.
  • Wash your feet daily with mild soap and dry them thoroughly by patting them with a towel.
  • Keep your feet warm but do not put them directly into the heat.

Type of Wounds

  • Ulcers can be reversed with the right treatment but when infection sets into the bone, amputation is often the next step.
  • Blisters are somewhat rare but if left unattended they can erupt, so it is good to keep them clean.
  • Scratches and cuts should be monitored but if you keep them clean and covered they shouldn’t become an issue.
  • Bruises are not very harmful unless the skin breaks in which case you need to treat it as a cut.

Anyone who has diabetes can develop a foot ulcer due to a combination of factors, such as poor circulation, friction or pressure, trauma, foot deformities or just wear and tear from having diabetes. It can be a dire situation if any of these conditions progress, therefore, immediate attention is wise.

Mid – Michigan Foot and Ankle Center in Saginaw and Essexville can address your concerns right away so call us at 989-790-8009 and schedule an appointment today. Dr. Andrew H. Cohen specializes in Diabetic wounds and can help eliminate any further damage brought on by diabetes.


Diabetic Foot CareAccording to Centre Daily, persons afflicted with neuropathy are at a high risk of developing complications, including infections, burns or cuts when participating in pedicures. Dr. Christina L. Rowe says that if an individual has neuropathy, he or she may experience a loss of sensation in his or her feet, which can easily miss a nail technician’s cut and remain unaware of potential infections that could form down the line.

Rowe suggests skipping the hot foot baths, paraffin baths and cutting of nails. There are natural products which can help and be classified as safe for an alternative adds Rowe. The American Diabetes Association defines peripheral neuropathy as tingling, pain, numbness or weakness in feet and hands.

Being diabetic makes you especially susceptible to foot problems like ulcers and nerve damage. For instructions about diabetic foot care, talk to podiatrist Dr. Andrew H. Cohen of Mid-Michigan Foot and Ankle Center.  Dr. Cohen can teach you about how to protect your feet from disease and injury.

Diabetic Foot Care

Diabetes affects millions of people every year. Diabetes damages blood vessels in many parts of the body, including the feet. When damage occurs to nerves in the feet, they may be unable to send proper signaling to the peripheral nervous system, resulting in a condition known as neuropathy. Once a diabetic patient develops neuropathy, it is mandatory that the feet are well taken care of to avoid amputation.

The Importance of Caring for Your Feet

- Routinely inspect your feet for bruises or sores.
- Wear socks that fit your feet comfortably.
- Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their Hemoglobin A1C levels. This test allows the physician to know how well the blood sugar levels are being controlled during the past 3 months. It is important to keep the blood sugar levels in a normal range (70-110mg/dl). Visiting a podiatrist is highly recommended if the diabetic patient is experiencing any conditions involving his or her feet.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet.

For more information about Diabetic Foot Care, follow the instructions below.

If you have any questions, please contact our offices in Saginaw, MI and Essexville, MI. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Diabetic Foot Care.