Diabetes can affect the feet by damaging nerves and reducing blood flow. Nerve damage, called peripheral neuropathy, can cause numbness, tingling, or burning pain. A patient may not feel a blister, cut, or area of pressure. Reduced circulation can also slow the healing of even a small wound. Together, these problems raise the risk of skin breakdown, infection, and serious ulcers. An ulcer is an open sore that does not heal normally, and without prompt care, an infection can spread and increase the risk of limb loss.

Diabetes can also change the shape and structure of the foot. Weak foot muscles may contribute to hammertoes or other toe deformities. These changes create pressure points that can lead to calluses and sores. Another serious complication occurs when nerve damage allows weakened bones and joints to become injured. Early signs include redness, warmth, and swelling. Pain may be mild or absent because sensation is reduced. The foot can lose its normal shape, making skin damage more likely. Any new swelling, drainage, or darkened skin requires prompt attention, especially when the patient has little feeling in the feet.

A podiatrist can identify risks before they become serious. The examination includes checking circulation, skin condition, and sensation. The podiatrist can also trim thick nails and reduce calluses safely. Ulcer care includes cleaning the wound, removing damaged tissue, and applying protective dressings. Custom orthotics, special shoes, or braces can reduce pressure on vulnerable areas. A podiatrist can monitor healing and treat infection. Severe deformity or an infection that threatens the foot may require surgery. Regular exams with a podiatrist are important for patients with numbness, poor circulation, or a past ulcer. Early treatment can protect mobility and lower the risk of lasting damage. If you have foot problems related to diabetes, it is suggested that you be under the care of a podiatrist who can help you to manage this serious condition. 

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact one of our podiatrists from David A. Scalzo, DPM, PC and Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

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 blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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

Flat feet occur when the arches are low or absent while standing. Some people are born with this foot shape without discomfort. In other patients, the arches flatten because of an injury or weakened tendons. Arthritis and excess body weight can also contribute. Symptoms include aching in the arches, heel pain, and swelling near the inner ankle. A person also may have tired feet after standing or notice changes in the way their shoes wear. Flat feet can affect how weight moves across the feet, placing added strain on joints and soft tissues.

A podiatrist can determine whether flat feet are responsible for the pain or another problem is involved. The examination includes checking the arches while the patient sits and stands. The podiatrist studies joint motion and the patient’s walking pattern. X-rays can show bone position, arthritis, or an injury. Other imaging can provide a closer look at tendons when damage is suspected. These findings help distinguish flexible flat feet from rigid flat feet. A flexible arch appears when no weight is placed on the foot, while a rigid arch remains flat. Identifying the type and cause allows the podiatrist to recommend care that matches the patient’s needs.

Treatment focuses on reducing pain, improving support, and helping the feet work efficiently. A podiatrist can prescribe custom orthotics that support the arches and guide weight across the feet. The doctor can also recommend shoes with firm heel support, adequate cushioning, and enough room for the toes. An ankle brace can provide added stability in certain cases. When a damaged tendon or severe bone misalignment causes lasting symptoms, surgery can repair the affected structures or improve their position. Regular podiatry visits can track changes in the arches and help prevent added strain on the ankles, knees, or hips. If you have foot pain related to flat feet, it is suggested that you schedule an appointment with a podiatrist for effective relief and management solutions. 

Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our podiatrists from David A. Scalzo, DPM, PC and Associates. Our doctors 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 Duryea, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A bunion is a foot deformity that develops when the big toe gradually moves toward the smaller toes while the joint at its base shifts outward. This creates a noticeable bump along the inside of the foot near the big toe joint. Bunions usually develop gradually and may become more prominent over time. Although some people experience little discomfort, others may develop pain, swelling, or stiffness. Shoes that press against the bump can cause friction and irritation, making standing and walking uncomfortable.

Bunion symptoms can become more noticeable as the deformity progresses. Pain may occur while walking, standing, or while wearing narrow shoes. Swelling and tenderness surrounding the joint are common, and repeated pressure may lead to calluses or thickened skin. The big toe may become less flexible and gradually move closer to the second toe. Genetics, inherited foot structure, abnormal foot mechanics, and footwear that places excessive pressure on the toes may contribute to bunion development. A family history of bunions can also increase the risk.

A podiatrist can evaluate the bunion and determine how it affects foot function. An examination may assess toe alignment, joint movement, and walking mechanics. X-rays may also be recommended to evaluate bone alignment and changes within the joint. Treatment depends on the severity of the bunion and the symptoms involved. Conservative options may include wider shoes, protective padding, and other measures designed to reduce pressure and improve comfort. Surgery may be considered when persistent pain significantly interferes with daily activities.

Early attention to bunion symptoms can help manage discomfort and support healthy foot function. Wearing shoes with adequate room around the toes can reduce pressure on the affected joint. Ongoing pain, swelling, or difficulty wearing shoes should not be ignored. If you have a painful or swollen bunion, it is suggested that you consult a podiatrist for an evaluation, appropriate treatment, and long-term management.

If you are suffering from bunion pain, contact one of our podiatrists of David A. Scalzo, DPM, PC and Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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

A black toenail is a condition where the toenail becomes darkened or discolored due to changes under or within the nail. The discoloration may appear black, purple, or dark red, depending on the cause. A black toenail is often related to bleeding beneath the nail, known as a subungual hematoma, but it can also develop from other conditions. Understanding the causes and symptoms can help determine when professional evaluation is needed.

Symptoms of a black toenail may include dark discoloration, swelling, and pressure under the nail. In some cases, the nail may become loose or separate from the nail bed. Pain is common when blood collects under the nail and creates pressure. Some individuals may not experience discomfort, especially when discoloration develops gradually. Changes in nail appearance should be monitored because they may indicate trauma, infection, or another underlying concern.

The causes of a black toenail often involve repetitive trauma or blunt force injuries. Repetitive trauma commonly occurs in runners, hikers, and athletes when the toes repeatedly hit the inside of a shoe during activity. Wearing shoes that are too tight can increase pressure and cause irritation beneath the nail. Blunt force, such as dropping an object on the toe or stubbing the toe, can also damage blood vessels under the nail. Fungal infections may cause darkened or thickened nails and can sometimes contribute to nail discoloration.

Risk factors for developing a black toenail include participating in high-impact activities, wearing improper footwear, and experiencing repeated pressure on the toes. Individuals with circulation concerns or certain medical conditions may also require closer monitoring of nail changes. Properly fitted shoes, wearing protective footwear, and attention to foot care can help reduce the risk of injury. If you have a black toenail, it is suggested that you consult a podiatrist for effective relief and treatment solutions. 

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our podiatrists of David A. Scalzo, DPM, PC and Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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