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Blog

April 2025

Foot Ulcers and Proper Wound Care

A foot ulcer is an open sore that usually forms on the bottom of the foot, often caused by pressure, friction, or injury. This condition is particularly common in people with diabetes or poor circulation, as high blood sugar and reduced blood flow can slow down the healing process. Foot ulcers can be painful, and if left untreated, they can become infected or worsen over time. Managing a foot ulcer requires careful wound care, including regular cleaning, applying the right dressings, and protecting the area from further injury. It is also important to manage underlying conditions like diabetes by keeping blood sugar levels under control. A podiatrist can help by providing antibiotics if an infection is present, recommending proper footwear, and advising on techniques to offload pressure from the affected area. These steps are key in promoting healing and preventing recurrence. If you have developed a foot ulcer, it is suggested that you make an appointment with a podiatrist for proper care and treatment.

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 one of our podiatrists from Foot Health Center of Merrimack Valley. Our doctors 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 feel free to contact one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Managing Sever’s Disease

Sever’s disease is a common cause of heel pain in growing children and adolescents. It occurs when the growth plate in the heel becomes inflamed due to repetitive stress and tension from the Achilles tendon. Risk factors include participation in high-impact sports, rapid growth spurts, and footwear that lacks adequate support. Symptoms include heel pain, tenderness, swelling, and discomfort during physical activity. Stretching can help relieve tension and prevent further irritation. Calf stretches improve flexibility and reduce strain on the heel. Heel cord stretches and rolling the foot over a ball can ease tightness in the foot muscles. Additionally, strengthening the lower legs and wearing proper footwear provide additional support. If your active child has heel pain, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnose foot conditions, including Sever’s disease.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from Foot Health Center of Merrimack Valley. Our doctors can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Read more about Sever's Disease

When Toenails Turn Troublesome

An ingrown toenail may seem like a minor issue at first, but it can quickly lead to significant discomfort and infection. This condition occurs when the edge of a toenail grows into the surrounding skin, often causing redness, swelling, and pain. Wearing tight footwear, improper nail trimming, and even genetics can increase the likelihood of developing an ingrown nail. Left untreated, the area can become infected, making walking difficult and daily activities uncomfortable. While home remedies may offer temporary relief, they often do not address the underlying problem. A podiatrist can provide effective treatment, which may include lifting the nail, removing part of it, or offering guidance on prevention. Early intervention can prevent complications, especially for those with diabetes or circulation issues. If you notice persistent pain, swelling, or signs of infection in your toe, it is suggested that you see a podiatrist for a proper diagnosis and treatment.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact one of our podiatrists of Foot Health Center of Merrimack Valley. Our doctors can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

If you have any questions, please feel free to contact one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

Symptoms of Wearing the Wrong Running Shoes

Wearing the wrong running shoes can lead to several issues that affect comfort, performance, and overall foot health. Poor performance is a common sign, as improper support or fit can cause discomfort and inefficiency while running. Runners may experience fatigue more quickly and struggle with maintaining proper form. Premature wear and tear on the shoes can also indicate a poor match, as excessive breakdown of the sole or cushioning suggests inadequate shock absorption or improper foot alignment. Injury is another major concern, as wearing ill-fitting shoes can contribute to blisters, shin splints, knee pain, or even stress fractures. Persistent discomfort, muscle soreness, and joint pain may develop over time. If you have developed foot conditions from wearing the wrong type of running shoe, it is suggested that you visit a podiatrist who can treat various foot ailments, and guide you on what type of shoes to buy for your desired style of running.

If you are a runner, wearing the right running shoe is essential. For more information, contact one of our podiatrists from Foot Health Center of Merrimack Valley. Our doctors can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

  • Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
  • Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
  • Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

If you have any questions please feel free to contact one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Choosing the Right Running Shoe
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