Scottsdale AZ Podiatrist

Foot wound care in Scottsdale AZ

Scottsdale AZ podiatrist

Scottsdale AZ podiatrist

If you have diabetes, you probably already know that it is important that you visit a podiatrist on a periodic basis to make sure you are not developing any foot or wound problems. At Desert Foot Surgeons, our Scottsdale AZ podiatrist, Dr. Stephen Geller, can provide you with complete podiatry care, including foot wound care.

Whatever type of podiatry care you need, our Scottsdale AZ podiatrist can expertly provide you with it. We specialize in diabetic foot and wound care. If a patient has diabetes, it is important that they do not develop foot care complications. It will help greatly to keep your blood sugar levels as close to normal as possible. When you have diabetes, it is critical that you keep your feet healthy by working with our podiatrist. He can help reduce the likelihood of your developing any type of foot infection. He will also take sure that any infection is quickly treated so that further complications do not develop. When it comes to diabetic foot care, the key to great foot care is prevention. You should check the bottom of your feet daily to make sure you are not developing any foot problems. In addition, you will want to make sure that even the smallest foot problem is treated promptly. For example, if you have a corn on your toe, you will want to visit our podiatrist so that it can be treated. This is because a corn can become infected, and if this occurs, you may have trouble since you may have reduced circulation in your feet; this makes effective treatment more difficult. Our foot doctor can meet with you so that you can learn how you can keep your feet protected for a lifetime.

For an appointment to come in to see our doctor for diabetic foot care and wound care, if necessary, contact us today. If you see a foot problem developing, let our office staff know that you need an immediate appointment to see our Scottsdale AZ podiatrist.

2222 E. Highland Ave, Suite 206
Phoenix, AZ 85016
(602) 490-8166

Finding the right athletic shoe need not cost a lot of money, but does require some care

A nice little article to help you select shoes.

http://www.pennlive.com/bodyandmind/index.ssf/2013/04/finding_the_right_athletic_sho.html

 

Dr. Allan Grossman shows another criteria for picking shoes

for your children, or yourself. When bending the shoe the

upper area should not expand out (left) but should remain

normal (right), otherwise you will not get proper support

from the shoe, and can be injured.

Mark Pynes | mpynes@pennlive.com

Hospital Guidelines for Diabetic Foot Infections

I am a big proponent of patients advocating for themselves.  In order to achieve this I spend a great deal of time teaching my patients much the same way I teach my residents.  Here is an article about hospital treatment guidelines for diabetic foot infection.  Every patient who hass been hsopitalized with a diabetic foot infection should appreciate these.

http://www.the-hospitalist.org/details/article/4412601/Hospital_Medicine_Guidelines_for_Management_of_Diabetic_Foot_Infections.html

 

Diabetic Foot Ulcer Treatment: Taking the Confusion out of the Wound Care Products

“You have a hole in your foot!”  That is usually how I start my discussions regarding Diabetic foot ulcers with a new patient.  There is not supposed to be a hole in your foot.  The fact is, there are things outside of our body that we want to keep out, and skin is our only line of defense in this regard.  Healing a break in your skin, known as a wound or ulcer/ulceration, as fast as possible, is important to restore your defenses against the outside world.

There are more than 3000 specialized products for “wound care”.  Needless to say there is a lot of confusion when it comes to choosing the most appropriate wound care dressing.  Since I teach students and residents, I am forced to keep things simple.  I have a way of describing wounds that is very simple, but allows me to chose a product that fits the characteristics of your ulceration in order to heal.  Wounds, no matter where they are on your body, will fit into one of these three categories.  A wound can be wet, moist, or dry.

Wet Wounds:

Having a break in your skin will result in inflammation, which is the first step in healing.  You must progress past inflammation in order to heal, but diabetic foot ulcers are well known for getting stuck in an endless loop of inflammation.  With the inflammation comes fluid draining from the opening.  A small amount of clear, watery or slight blood-colored drainage is normal, but when this becomes excessive there are problems.  Think of your skin when you spend time in a pool.  Your fingers prune, right?  This is known as maceration and when it happens on the edges of an open wound you have further weakened that skin’s resistance to injury and infection.  Obviously infection can cause increased drainage and antibiotics are part of the answer, but only after testing the wound for infection.  Remember, no cotton swab, testing it has to be a tissue specimen (see Diabetic Ulcer Treatment).

Products used to bandage wet wounds must be able to absorb fluid to get it away from the skin edges and base of the wound. Adding more moisture is a common mistake.  We do not use creams, ointments, salves, coverings that lock in moisture such as Band-aids.  Foams, alginates, even gauze will absorb and move fluid away from the ulcer.

Dry Wounds:

The opposite end of the spectrum is a dry wound.  How often have you heard, “leave it open to the air so it will dry out and form a scab”?  Would it surprise you to know that this was found to be false in 1962?  It takes 100 times longer to heal a wound when scab forms, but even some naïve physicians tell patients that the wound needs air.  The first concern with a dry wound is your circulation.  Once I have done testing to assure that you have adequate circulation to heal or sent you to a vascular surgeon to have circulation repaired, I have to find a product that donates moisture to the wound. 

Moisture donating products are creams, gels, gel sheets…basically if the product is moist then it is able to donate that to the wound.  Ointments are generally not used since these are petroleum based and the petroleum has been shown to reduce the ability to heal.  Science is always changing and there are rare ointments that are not based on petroleum, but just to be safe I recommend you avoid all ointments.  Dry wounds have the problem of that scab forming.  In order to drive the moisture through the dry wound bed, I often add a layer to keep air out.  There are films, barriers, hydrocolloids, and fancy combination dressings that I often add when treating dry wounds.

Moist Wounds:

A moist wound is a healing wound!  Everything above has involved making a wound moist.  We dry a wet wound until it is just moist, we moisten a dry wound.  Keeping the wound moist involves moisture donating products such as gels, creams, and gel sheets.  There is no need to lock in the moisture using a film like I do in dry wounds.  Usually just a gauze covering will suffice.

That’s it.  You have now been given the same information I give my students and residents minus all the fancy names of specific products.  If you have a diabetic foot ulcer or wound and need care, instead of letting someone who is confused about wound care products roll the dice and choose whatever product the last drug rep brought in, come see me at Desert Foot Surgeons.  Your feet matter to us!

Diabetic Foot Ulcer

“I take longer to heal because I have Diabetes”.

This is a statement many patients coming to see Dr. Geller at Desert Foot Surgeons say their first visit. Unfortunately this is a rumor that makes a convenient excuse. When diabetes is controlled you not only reduce your risk of complications such as heart disease, blindness, and kidney failure, but you heal like anyone else.

One out of ten people you meet in the United States has diabetes. Out of the people you know with diabetes, at least one has developed a hole in their skin known as a foot ulcer. The feet are most affected by loss of feeling and circulation. Diabetic foot ulcers are caused by one or both of these complications. What prolongs healing is poor circulation to your legs and feet or walking on an open sore because there is no pain.

Dr. Geller has a special interest in wound healing. At Desert Foot Surgeons we don’t wait for wounds to heal. Wounds are made to heal by fixing poor circulation, getting your weight off of the wound using total contact casting, and even surgery to correct buckled toes, lumps on feet, or skin grafts to cover the defect. Control of your diabetes and compliance with the plan of care is the patient’s role. Healing diabetic foot ulcerations takes a team and the patient is the major player.

If you have a diabetic foot ulcer and have been told you can’t heal because you have diabetes, come and see Dr. Geller at Desert Foot Surgeons.

Before And After Pictures,

(After)

diabetic foot healingDiabetic foot healing

Before Pictures :
WARNING – Click Here for Graphic Images – WARNING