Ulcers

Patient Conditions

Pain and discomfort of the feet can affect our mood and overall ability to enjoy each day. At Rieter Podiatry Associates, we want you to feel your best every day! Many foot and ankle conditions can be easily prevented or treated when patients are equipped with the necessary information. Browse through our conditions library to learn more about topics that interest you. When you're ready, call for an appointment. 

Arch and Ball of the Foot

These conditions generally develop as a result of improper footwear, injury, or overuse. Weight gain may also play a contributing role.

Children’s Feet

Children have flexible, resilient feet that are much less susceptible to the pains and discomforts associated with adulthood. None-the-less, childhood development poses a few concerns. It is very important to pay attention to a child's gait.

  • Cavus Foot
  • Clubfoot
  • Flat feet
  • In-toeing
  • Out-toeing
  • Sever’s Disease
  • Tarsal Coalition

Common Foot and Ankle Injuries

Throughout an individual's lifetime, they are exposed to a plethora of pain inducing foot and ankle injuries. The following conditions are caused by injury, repeated trauma, or accident.

Deformities

Foot and ankle distortions are associated with inheriting certain foot structures. Deformities develop on their own but can become excessively aggravated through wearing improper footwear.

Diabetes and Circulatory Disease

Individuals with diabetes are prone to developing foot and ankle conditions. Due to the reduction of blood flow to the feet and loss of sensation there is an increased risk of danger as many symptoms  go unnoticed until after they've become severe.

Diseases of the Foot

Feet are known to display the first signs and symptoms of disease in the body. The distance from the foot to the heart and exposure to stresses make it prone to developing disease.

  • Arthritis (Osteoarthritis, Rheumatoid arthritis
  • Cancer
  • Charcot Foot
  • Gout
  • Raynaud’s Disease
  • Sever’s Disease

Heel Pain

Pain located in the heel can cause great discomfort. These conditions are not associated with life-threatening circumstances, but heel pain when the feet are at rest is indicative of a problem more severe than what meets the eye.

Nail and Skin Problems

Invasive foreign bodies, such as bacteria and fungi, may infect the skin and toenails. These conditions are associated with two extremes: overly dry environments or exceedingly moist environments.  Improper footwear can also be a contributing factor.

Nerve/Vascular Disorders

Symptoms of nerve and vascular disorders include burning or stabbing pain. These sensations occur at irregular intervals, even during times of rest and relaxation.

  • Diabetic Neuropathy
  • Morton’s Neuroma
  • Peripheral Nerve Compression
  • Tarsal Tunnel Syndrome

Toe Problem

The toes provide the entire body with the ability to move and a sense of balance while standing, walking, or running. Problems develop as a result of trauma to the foot, improper footwear, and overuse.

  • Bunions
  • Hallux Rigidus
  • Hammertoe
  • Intoeing
  • Overlapping/underlapping toes
  • Turf toe

Patient education is vital to patient health. Dr. Todd Rieter wants you to make the best decisions possible when it comes to your health and well-being. If you have a condition that has gotten out of hand, let us help! Call 262-338-0901 or book your appointment online. Help us, help you.

Ulcers are skin wounds that are slow to heal. In the foot, as prominent metatarsal heads on the plantar (bottom of the foot)are subjected to increased pressure, the skin begins to become callused. When subjected to shearing forces, there is a separation between the layers on this callused skin, which fills with fluid and becomes contaminated and infected. The result is a foot ulcer.

Ulcers are classified in four stages, according to how deeply they penetrate the layers of skin they have broken through.

The four stages of ulcers are:

  • Stage 1—Characterized by reddening wounds over bony areas. The redness on the skin does not go away when pressure is relieved.
  • Stage 2—Characterized by blisters, peeling, or cracked skin. There is a partial thickness skin loss involving the top two layers of the skin.
  • Stage 3—Characterized by broken skin and sometimes bloody drainage. There is a full thickness skin loss involving subcutaneous tissue (the tissue between the skin and the muscle.)
  • Stage 4—Characterized by breaks in the skin involving skin, muscle, tendon, and bone and are often associated with a bone infection (osteomyelitis).

The are also four major cause of foot ulcers:

  • Neuropathic—Related to the nerves and characterized by a loss of sensation in the feet.
  • Arterial—Related to poor blood circulation to the lower extremity. This type of ulcer can be very painful and is usually found on the tips of toes, lower legs, ankle, heel, and top of the foot. It can very easily become infected.
  • Venous—Related to compromised veins. These ulcers are often seen around the inside of the ankle and are slow to heal.
  • Decubitus—Derived from excessive and prolonged pressure on one area of the foot. The most common type of decubitus ulcer of the feet is bed sores on the backs of the heels of people confined to bed for long periods of time.

Foot ulcers are a common problem for diabetics. Contact casts are sometimes applied to the diabetic foot to relieve the bony prominent areas of pressure, allowing ulcers to heal.


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