Diabetic limb salvage is an approach used to protect a foot or limb when diabetes has caused a wound, infection, or tissue damage. The goal is to save as much tissue as possible and prevent loss of limb when appropriate. Diabetes can reduce sensation and slow healing, so small problems may become severe before they are noticed. Warning signs can include an open sore, redness, or increasing pain.

Several factors can increase the need for diabetic limb salvage. High blood sugar can damage nerves and blood vessels. Reduced sensation can make it difficult to feel an injury. Poor circulation may limit oxygen and nutrients needed for healing. Infection can also spread into deeper tissues or bone. A history of foot ulcers, previous limb loss, kidney disease, or smoking may increase risk. Prompt evaluation is important when a wound does not heal normally.

Diabetic limb salvage may involve several steps based on the person’s condition. A podiatrist may examine the wound, check circulation, and order imaging tests. Treatment may include wound cleaning, removal of damaged tissue, and protective dressings. Some patients may need vascular care or surgery to improve blood flow or remove infected tissue while preserving healthy structures. This approach can be life-changing because saving a limb may support mobility, independence, and activities.

Healing requires careful follow-up and foot protection. A podiatrist may monitor the wound regularly and adjust treatment based on improvement. Patients may also receive guidance about blood sugar control, footwear, and daily foot checks. Early care can make an important difference when diabetes threatens the health of a foot or limb. If you have severe foot complications from diabetes, it is suggested that you are under the care of a podiatrist who can discuss the pros and cons of diabetic limb salvage with you. 

Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with Michele Kraft, DPM from Toes on the Go. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Limb Salvage?

Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated. 

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

A broken heel, also called a calcaneus fracture, occurs when the heel bone cracks or breaks. This injury can cause significant pain and make standing or walking difficult. A broken heel may happen when a strong force travels through the foot and damages the bone. Common causes include falling from a height, being involved in a car crash, or sustaining a sports injury. The severity can range from a small crack to a complicated fracture where the bone is split into several pieces. 

Symptoms often appear immediately after an injury. Severe heel pain is common, especially when placing weight on the foot. Swelling and bruising may develop around the heel and ankle. The foot can also feel tender, stiff, or difficult to move. Some fractures cause changes in the shape of the heel. Risk factors include activities that involve jumping or high-impact movement. However, anyone can experience a heel fracture when exposed to significant trauma.

A podiatrist will examine the foot and ask how the injury occurred. X-rays are commonly used to identify a fracture, while additional imaging may be needed to understand the severity. Treatment depends on the fracture location and whether the bone has shifted. A stable fracture may be treated with immobilization, elevation, and restricted weight-bearing. More complex fractures may require surgery to realign and secure the bone. Surgical treatment can involve plates, screws, or other fixation methods. Follow-up visits help monitor healing and recovery.

Healing from a broken heel takes time, and following the treatment plan is important for protecting the injured bone. Your podiatrist may gradually adjust weight-bearing restrictions as healing progresses. Wearing proper footwear and supportive care can also help during recovery. Because heel fractures can affect how the foot functions, a podiatric evaluation should not be delayed after a serious injury. If you have broken your heel, it is strongly suggested that you promptly consult a podiatrist for effective relief and treatment solutions.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Michele Kraft, DPM from Toes on the Go. Our doctor can provide the care you need to keep you pain-free and on your feet.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

• Bruising
• Pain
• Redness
• Swelling
• Blue in color
• Numbness
• Cold
• Misshapen
• Cuts
• Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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

The plantar fascia is a strong band of tissue that runs along the bottom of the foot and helps support the arch. A sharp pain near the heel with the first morning steps can be a sign of plantar fasciitis. This painful  condition usually causes a sharp or aching pain near the heel. Pain is frequently strongest with the first steps after getting out of bed or standing after a long rest. It can ease after a few minutes of movement, but return after activity. Some patients also notice stiffness or tenderness along the bottom of the foot.

Repeated strain can place too much stress on the plantar fascia. Risk factors include a sudden increase in exercise, long hours spent standing, and tight calf muscles. Flat feet or high arches can also change how pressure moves through the foot. Other possible causes include excess body weight and shoes that lack proper support. Runners, dancers, and workers who spend time on hard floors can be more likely to develop symptoms. Because several problems can cause similar heel pain, an accurate diagnosis is important before treatment begins.

A podiatrist can examine the foot, review when the pain occurs, and check the patient's range of motion. X-rays or other imaging tests can help rule out a fracture, arthritis, or another cause of heel pain. Treatment by a podiatrist includes custom orthotics, supportive shoe recommendations, and a guided stretching program. This foot doctor may also suggest wearing a night splint or temporary walking boot to reduce strain. Surgery is rarely required, but it can be considered for severe pain that continues despite other care. Early evaluation can help prevent the pain from limiting work, exercise, and everyday movement. It can also support a safer return to activity. If you have symptoms of plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Michele Kraft, DPM from Toes on the Go. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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

Falls can cause serious injuries and reduce a person's confidence and independence. Older adults face a higher risk of falls, but balance problems can affect patients of any age. Foot pain, weak ankles, and numbness can make each step less secure. Shoes that fit poorly or lack proper support can increase the chance of slipping or tripping. Fear of falling can cause people to limit activity. This can weaken the legs and make balance more difficult. Recognizing these risks early helps protect mobility and independence.

A podiatrist can examine the feet, ankles, and walking pattern to find problems that affect stability. The examination includes checking joint movement, muscle strength, and sensation. A podiatrist can also look for bunions, corns, or thick toenails that change how a patient walks. Treatment depends on the cause. Custom orthotics can improve foot position and support. Braces can steady weak ankles, while professional nail and skin care can reduce painful pressure. A podiatrist can recommend properly fitted shoes with firm soles, secure fasteners, and enough room for the toes. These steps can help patients feel more stable when walking.

Patients should mention dizziness, vision changes, or hearing problems. A podiatrist can review medicines that affect alertness or balance. Certain exercises can be prescribed to improve strength, flexibility, and coordination. Falls prevention also requires attention to daily surroundings and general health. Inside the home, clear walking paths and bright lighting can reduce hazards. Secure handrails can provide support near stairs. Patients should avoid loose rugs, clutter, and shoes with worn soles. Using a prescribed cane or walker correctly can add stability. Regular visits with a podiatrist are especially important for patients with diabetes, poor circulation, or reduced feeling in their feet. A podiatrist can identify changes before they interfere further with safe movement. If you have fallen, or are at risk of falling, it is suggested that you schedule an appointment with a podiatrist for additional guidance on fall prevention tips. 

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Michele Kraft, DPM from Toes on the Go. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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