Total contact casting is a specialized treatment used to manage diabetic foot ulcers by distributing pressure evenly across the foot and reducing stress on the wound area. It works by enclosing the foot and lower leg in a carefully molded cast that limits movement and promotes healing through constant contact and offloading pressure. This method is highly effective in encouraging ulcer closure while protecting the affected tissue. Risk factors for poor healing include uncontrolled blood sugar, poor circulation, and prolonged pressure on the foot. A podiatrist plays a key role by applying the cast, monitoring healing progress, and adjusting treatment, as needed. If you have diabetes and have developed a foot ulcer, it is suggested that you are under the care of a podiatrist who can discuss the benefits of this treatment method with you.

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 Frederick Matthews, DPM from Innovative Foot and Ankle Care. 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 contact our office located in Plano, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

An ankle-foot orthosis is a supportive brace designed to improve stability, alignment, and movement in the foot and ankle. It is often used when weakness, injury, or nerve-related conditions affect normal walking. People who need this support may notice foot drop, instability, or difficulty lifting the front of the foot during each step. These issues can develop from neurological conditions, muscle imbalances, or trauma that disrupts proper function. Wearing an ankle-foot orthosis helps guide the foot into a more natural position and can reduce strain on surrounding structures. A podiatrist plays an important role by evaluating gait, customizing the device, and ensuring a proper fit for comfort and effectiveness. If walking feels unsteady or limited, it is strongly suggested that you seek guidance from a podiatrist for appropriate care.

If you are having discomfort in your feet and would like to try orthotics, contact Frederick Matthews, DPM from Innovative Foot and Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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

Gout is a form of inflammatory arthritis that often affects the foot, especially the joint at the base of the big toe. It develops when uric acid builds up in the body and forms sharp crystals within the joint. This can lead to sudden and severe pain, along with redness, swelling, and stiffness. Many people notice that attacks begin quickly, often at night, and can make even light pressure feel unbearable. Risk factors include diet, genetics, certain medications, and underlying health conditions. During gout flare-ups, the joint may appear swollen and warm, and movement can become limited. A podiatrist can diagnose gout through examination and testing, then provide treatment to reduce inflammation and protect joint health. Gout can be painful and may cause difficulty in completing daily activities. If this applies to you, it is suggested that you seek care from a podiatrist who can help you to manage this painful condition. 

Gout is a painful condition that can be treated. If you are seeking treatment, contact Frederick Matthews, DPM from Innovative Foot and Ankle Care. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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

Plantar warts are small growths that develop on the bottom of the foot after the skin is infected with the human papillomavirus, also called HPV. These warts often appear on weight-bearing areas, such as the heel or ball of the foot. They may feel like stepping on a pebble or rough surface while walking. The skin can look thickened or grainy, sometimes with tiny black dots that are clotted blood vessels inside the wart. Plantar warts may cause discomfort when pressure is applied and can spread, if left untreated. The virus commonly enters through small cuts or cracks in the skin. It is often picked up in warm, moist environments, such as locker rooms, pools, or shared showers. A podiatrist can identify whether the lesion is a wart or another skin condition and recommend the most effective treatment. Care may include topical medication, removal procedures, or other treatments to reduce pain and prevent spreading. If you have plantar warts, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Frederick Matthews, DPM from Innovative Foot and Ankle Care. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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