A diabetic foot ulcer is an open sore that develops on the foot of someone with diabetes. High blood sugar can damage nerves and blood vessels, making injuries harder to notice and slower to heal. Early signs include redness, swelling, or a small blister. Other symptoms include drainage, odor, or skin color changes. Recognizing changes early can help protect the foot, support healing, and lower the risk of serious complications.

Understanding the stages of foot health can make prevention easier. A normal foot has healthy skin, good circulation, and intact sensation. An at-risk foot may have calluses, reduced sensation, or poor circulation. A foot with an ulcer has a break in the skin that needs professional evaluation. An infected foot may become increasingly red, swollen, or draining. Risk factors include diabetes, smoking, and previous wounds.

A podiatrist begins treatment by examining the wound and checking circulation, sensation, and infection. The ulcer may be measured, photographed, and carefully cleaned. Damaged tissue may be removed through debridement, when appropriate. Treatment may include wearing specialized footwear, off-loading devices, or wound dressings. If infection is present, appropriate medication may be needed. Good blood sugar management also supports healing and recovery over time.

Diabetic foot ulcers should never be ignored. Regular foot checks, wearing properly fitted footwear, and diabetes management can help lower ulcer risk. Keep feet clean and dry, avoid walking barefoot, and contact a podiatrist when you notice a wound or unusual change. Podiatric care can identify the cause, protect surrounding tissue, and support steady healing. If you have a diabetic foot ulcer, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this serious condition.

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 Jennifer Swan, DPM from Right Step Foot 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 Westerville, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Toenail avulsion surgery removes part or all of a damaged or painful toenail. A podiatrist recommends this procedure when a nail causes repeated pain, grows into the surrounding skin, or becomes badly damaged. Surgery also helps when part of the nail keeps returning after previous treatment. Depending on the problem, the podiatrist removes only the affected section or the entire nail. In some cases, the small area that produces the nail is treated to reduce the chance of that section growing back.

Before surgery, the toe is carefully examined by a podiatrist. The area is numbed before the nail is removed, helping patients stay comfortable throughout the procedure. The nail is lifted with special instruments designed to protect the surrounding skin. After the nail is removed, the podiatrist checks the nail bed for hidden damage, infection, or abnormal tissue. The nail bed is the skin beneath the nail that supports healthy nail growth. The toe is then covered with a protective dressing before patients leave the office. Follow-up visits allow the podiatrist to monitor healing, watch for problems, and decide when normal activities can safely resume.

Toenail avulsion surgery can relieve ongoing discomfort and prevent repeated nail problems from interfering with daily life. Patients usually notice improved comfort while walking after the painful nail has been removed. A podiatrist also discusses whether future nail growth is expected or whether the treated section is intended to remain permanently absent. Prompt evaluation also allows other nail conditions to be identified before they become more serious. Early treatment can also improve shoe comfort and reduce pressure on nearby skin. It can also restore confidence when standing, walking, and participating in everyday activities without ongoing pain. If you have a toenail that has become painful, it is suggested that you schedule an appointment with a podiatrist to see if avulsion surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Jennifer Swan, DPM of Right Step Foot Care. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

Tarsal tunnel syndrome is a nerve condition that develops when the posterior tibial nerve becomes compressed as it travels through a narrow passage near the inside of the ankle. This tunnel is located between the ankle bone and the surrounding soft tissues, with the nerve continuing into the foot. When pressure affects the nerve, symptoms can develop along the inner ankle, heel, and bottom of the foot. People may experience tingling, numbness, or shooting pain. 

Several factors can contribute to tarsal tunnel syndrome. An ankle injury or swelling may increase pressure around the nerve. Flat feet can also change foot alignment and place additional strain on the nerve whle walking. Other risk factors include repetitive activity, arthritis, and abnormal foot mechanics. Some people describe a burning sensation that travels from the inside of the ankle toward the sole of the foot. In more advanced cases, numbness or weakness may affect normal foot function.

A podiatrist can evaluate symptoms and determine whether tarsal tunnel syndrome is causing the discomfort. The examination may include reviewing medical history, checking sensation, and observing walking mechanics. The podiatrist may also perform specific nerve assessments and recommend imaging or nerve testing when appropriate. Treatment depends on the underlying cause and may include activity modification, supportive footwear, or measures to reduce swelling and pressure surrounding the nerve. Treating an underlying foot or ankle problem can also help reduce nerve irritation.

Early evaluation may help prevent consistent nerve compression from interfering with walking and daily activities. Persistent tingling or burning should not be dismissed as ordinary foot fatigue, particularly when symptoms repeatedly occur in the same area. A personalized treatment plan can address both the nerve irritation and the mechanical factors contributing to symptoms. If you have pain in this part of your foot, it is suggested that you consult a podiatrist who can accurately diagnose and treat tarsal tunnel syndrome. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Jennifer Swan, DPM of Right Step Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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

Flat feet, also called fallen arches, occur when the arch on the inside of the foot is low or has collapsed, allowing more of the foot to touch the ground. Some people are born with flat feet, while others develop them over time because of aging, injury, or changes affecting the tendons that support the arch. Not everyone with flat feet experiences discomfort, but some develop pain that affects walking and other daily activities. As the arch changes, additional stress may be placed on the feet, ankles, and lower legs. This change in foot mechanics can also affect balance and overall movement. A professional evaluation is important to determine whether flat feet are contributing to pain or limiting normal function. Early podiatry care may help identify related problems before they become more severe.

Symptoms of flat feet vary from person to person. Many individuals experience foot pain, ankle pain, or swelling along the inside of the foot. Others notice fatigue in the feet after standing or walking for extended periods. Some people develop discomfort that spreads into the knees, hips, or lower back because changes in foot alignment affect the way the body moves. In more advanced cases, walking may become difficult because of ongoing pain or reduced stability. Persistent symptoms should not be ignored because untreated problems may continue to affect mobility and quality of life. Early evaluation can help determine the cause of discomfort and guide appropriate treatment.

A podiatrist specializes in diagnosing and treating flat feet and other conditions that affect foot function. During an examination, the podiatrist evaluates the structure of the feet, walking mechanics, and any symptoms that interfere with movement. Treatment is tailored to each patient's needs and focuses on improving foot function, reducing discomfort, and supporting better mobility. Early podiatry care may also help prevent additional strain on the feet and ankles. If you are experiencing foot pain, ankle pain, or difficulty walking because of flat feet, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Jennifer Swan, DPM from Right Step Foot Care. Our doctor 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 Westerville, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.