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Diabetes

Why Foot Health Matters if You’re Living With Diabetes

November is Diabetes Awareness Month, so there’s still some time to spotlight a crucial but often overlooked part of diabetes care: your foot health. For individuals living with diabetes, paying attention to their feet is one of the most important steps they can take to prevent serious complications.

Below, the team at New England Podiatry Associates explores the connection between diabetes and foot health to keep patients healthy, comfortable, and confident in their foot care.

Why Foot Health Is So Important for People With Diabetes

One of the biggest concerns is diabetic neuropathy, a condition that causes reduced sensation in the feet. When you can’t fully feel cuts, blisters, or pressure points, small issues can go unnoticed and worsen over time. Add poor circulation to the equation, and the body has a harder time healing even the most minor injuries.

Foot ulcers, open sores often caused by friction, poor footwear, or unnoticed injuries, are one of the most common complications. Without proper care, they can lead to infections and, in severe cases, hospitalization.

Daily Foot Care Tips for Diabetes Management

  • Check your feet every day for redness, swelling, cuts, blisters, or changes in skin texture.
  • Wash and dry your feet thoroughly.
  • Keep your toenails trimmed straight across to avoid ingrown nails.
  • Moisturize dry skin.
  • Wear supportive shoes that fit properly and don’t rub or pinch.
  • Try to avoid walking barefoot.

How Custom Orthotics Can Help

For many individuals with diabetes, custom orthotics can make a significant difference in long-term foot health. These specialized inserts are designed to reduce pressure points, improve alignment, and create a more stable foundation when you walk. By evenly distributing weight and minimizing friction, they help prevent ulcers and reduce strain on vulnerable areas of the foot.

Custom orthotics can also improve your overall comfort, reduce fatigue, and support healthy gait mechanics—benefits that are especially valuable for anyone managing circulation issues.

If you’re living with diabetes, simple daily habits, along with supportive solutions like custom orthotics, can help you stay active and healthy for years to come. Your feet deserve the same attention as every other part of your diabetes care plan.

Dr. Catherine Jacobs, Dr. Zachary Sax, Dr. Joshua Oulette, Dr. Ronald Etskovitz, and Dr. Raymond Murano III of  New England Podiatry Associates provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions. Contact us today to schedule an appointment!

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blog Orthotics

Do You Need Orthotics? Find Out if Custom Inserts Can Help Your Feet

Are you experiencing foot pain, discomfort, or problems with your gait? You might need custom orthotics! Also known as shoe inserts, these devices can support, align, and improve the function of your feet. In the Q&A below, New England Podiatry Associates will help you determine if you need a pair.

Q: Do you have… Morning Heel Pain?

  • The Problem: Sharp, stabbing pain in your heel with your first steps in the morning or after periods of rest is a classic sign of plantar fasciitis. This is inflammation of the plantar fascia, a thick band of tissue on the bottom of your foot.
  • How Orthotics Help: Custom orthotics provide arch support and cushioning, reducing stress on the plantar fascia and allowing it to heal.

Q: Do you have… Flat Feet or High Arches?

  • The Problem: Both flat feet (pes planus) and high arches (pes cavus) can cause problems. Flat feet often overpronate (roll inward excessively), while high arches don’t absorb shock effectively.
  • How Orthotics Help:
    • Flat Feet: Orthotics provide arch support, control overpronation, and improve foot alignment.
    • High Arches: Orthotics offer cushioning and distribute pressure more evenly across the foot.

Q: Do you have… Bunions or Hammertoes?

  • The Problem: These foot deformities can cause pain, pressure, and difficulty fitting into shoes.
  • How Orthotics Help: While orthotics can’t reverse bunions or hammertoes, they can help slow their progression, relieve pressure, and improve comfort.

Q: Do you have… Pain in Your Knees, Hips, or Back?

  • The Problem: Foot problems can often cause a “chain reaction” of pain up the body. Poor foot alignment can alter your gait and posture, leading to stress on your knees, hips, and back.
  • How Orthotics Help: By correcting foot alignment and improving biomechanics, orthotics can reduce strain on these other joints and alleviate pain.

Q: Do you have… Diabetes or Circulation Problems?

Are Orthotics Right for You?

Over-the-counter inserts are cookie-cutter solutions, and they won’t be covered by insurance or HSA funds. Get in touch and grab your pair of custom orthotics from New England Podiatry today!

Dr. Catherine JacobsDr. Zachary SaxDr. Joshua OuletteDr. Ronald Etskovitz, and Dr. Raymond Murano III of New England Podiatry Associates provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions. We’ve proudly served the Boston area since 1984, utilizing state-of-the-art diagnostic and treatment technology to find the best solution for each individual. Contact us today to schedule an appointment!

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blog Obesity

Feeling the Pressure: The Structural Injuries of Obesity

As obesity puts significant stress on the body, the feet and ankles especially bear the brunt. And while podiatrists commonly associate excess weight with diabetes, neuropathy, and other internal foot complications, not enough focus is placed on the structural problems and the mobility limit that occur because of weight gain.

In this article, we at New England Podiatry Associates are emphasizing these affects, along with the injuries that result from them.

The Impact of Obesity on Feet and Ankles

  • Increased pressure: Extra weight places additional pressure on the feet, leading to conditions like plantar fasciitis, heel pain, and metatarsalgia.
  • Joint stress: Obesity can accelerate joint degeneration, particularly in the ankles and feet.
  • Structural changes: Over time, excessive weight can lead to structural changes in the feet, such as flat feet or bunions.
  • Skin issues: Obesity can increase the risk of skin problems, including fungal infections and calluses.
  • Reduced mobility: Foot and ankle pain associated with obesity can limit physical activity, leading to further weight gain and a vicious cycle.

Common Foot and Ankle Injuries Linked to Obesity

With these challenges and changes due to obesity, certain injuries are bound to occur. For instance, ankle sprains become common due to the destabilization of the ankle joint. The added pressure on the heel, ankle, and forefoot can also lead to plantar fasciitis, metatarsalgia, and Achilles tendonitis.

For morbidly obese people, stress fractures are a possibility due to repetitive impact from walking or standing. The severe pressure on the feet can also lead to open sores that are slow to heal. And with limited mobility, they increase the risk of infection due to their inability to thoroughly clean affected areas.

Prevention

Preventing and managing these injuries often involves weight loss, proper footwear, and orthotics. If you experience persistent foot or ankle pain due to obesity, consult with a podiatrist for evaluation and treatment.

At New England Podiatry AssociatesDr. Ronald EtskovitzDr. Raymond Murano IIIDr. Catherine JacobsDr. Joshua Ouellette, and Dr. Zachary Sax are always pleased to assist. We offer convenient locations in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280 to schedule an appointment today.

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blog Orthotics

Orthotics: Stay Sure Footed

Our feet bear the brunt of our hectic lifestyles, so why not give them a boost? At New England Podiatry, we’re proud to do so by offering the very best in custom-fitted orthotics!

Our expert DPMs decided they’d do your feet a solid and provide helpful tips regarding orthotics and their benefits. Look below and see if these sole-saving devices are right for you!

Two Types of Support

Orthotics come in two different varieties:

  • Functional orthotics:

These control the irregular motion of the foot. Often, they’re composed of a semi-rigid material, such as graphite or plastic.

  • Accommodative Orthotics:

This variety focuses on comfort and support. They treat painful conditions like diabetic foot ulcers or sensitive calluses.

Now that you know the options, you might wonder: why seek out orthotics in the first place?

Simple! Orthotics can…

Reduce Fatigue

Unlike mass-produced insoles, custom orthotics address arch height, foot shape, and gait pattern, which helps reduce fatigue associated with prolonged standing or walking.

Soothe and Manage Foot Pain

Whether you’re dealing with plantar fasciitis or bunions, orthotics provide targeted relief. They alleviate chronic aches by redistributing pressure and supporting the natural arch of the foot.

Improved Posture and Joint Health

Feet are the foundation of a body’s biomechanics, and any imbalance can have cascading consequences. Custom orthotics work to correct said imbalances, promoting proper alignment. This reduces strain on the feet, which takes pressure off the knees, hips, and lower back, preventing long-term musculoskeletal issues.

Enhanced Athletic Performance

By providing superior shock absorption, inserts improve stability and reduce the risk of injuries during sports or intense physical activities. Customized support can contribute to better energy transfer and efficiency, too.

Dr. Catherine Jacobs, Dr. Zachary Sax, Dr. Joshua Oulette, Dr. Ronald Etskovitz, and Dr. Raymond Murano III of New England Podiatry Associates provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions and injuries. Our firm has proudly served the Boston area since 1984. We utilize state-of-the-art diagnostic and treatment technology to find the best solution for each individual. Contact us today to schedule an appointment, and we’ll see if custom orthotics are the right fit for you!

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Arthritis blog

All About Arthritis

What do you know about arthritis? Unfortunately, most people don’t know enough about this condition until they are diagnosed. Patients who have arthritis in their feet or ankles experience significant joint pain and swelling, which often leads to pain. This can make daily activities harder to accomplish and diminish the quality of your life. What do you need to know about living with arthritis? Keep reading to find out.

Myth Busting

There are many forms and causes, but it is a myth that only seniors have this condition. Juvenile arthritis is another form you should be aware of. Unfortunately, children can experience pain and stiffness in their joints. If you have noticed new changes to your ankles and feet, make an appointment with your podiatrist. It’s best to get a diagnosis.

Should I Skip My Workout?

No, physical activity is one of the best ways to relieve joint pain. We recommend consulting with your doctor to hear their recommendation for an exercise plan. Gentle movements are best; we remind patients to take on new activities one day at a time. It’s even okay to break up your activity throughout the day.

How Can I Treat My Condition?

For light cases, you can treat the pain caused by arthritis through rest, elevation, and immobilization to halt pain and allow damage to heal. In more serious cases, arthritis can cause severe deformities, which may require surgery. Here are the most common treatments:

  • Physical therapy and exercise to increase strength and function
  • Anti-inflammatory medication and steroid injections prescribed by your doctor
  • Massages
  • Foot soaks and ice application
  • Orthotics or prescribed footwear

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, Dr. Joshua Ouellette, and Dr. Zachary Sax, treat various foot and ankle conditions. Equipped with a board-certified podiatrist team, we offer two convenient locations to provide excellent care for patients in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280. We are still offering a telemedicine option for your safety and convenience.

Categories
blog Footwear Winter

Replacing Your Cold-Weather Footwear

As the leaves turn, many of us are starting our fall and winter shopping for the year. Going through your closet and deciding what to keep and what to part with can be difficult, especially when it comes to shoes. Are your boots from last year feeling a little tight in the toes? How do you replace some of last season’s favorites? New England Podiatry is here with tips on how to sort through your cold-weather footwear.

Is It Time to Toss Them?

Getting rid of your favorite shoes is difficult, especially if you can’t find an exact replacement. But if you find the pair ill-fitting as the year passes, it’s important that you stop wearing them. The health of your feet is more important! Below is an easy checklist for checking your shoes:

  • How do the heels look? Are they worn out? If so, some shoe repair stores may be able to help.
  • Have you had your running shoes for over a year? Are your feet in pain after your daily run? If so, replace them.
  • Are your boots not providing any arch support? Are the soles worn down? Time for a new pair!
  • How about your orthotics? Socks? If you find them worn, it’s best to get something new.

Everything Is Replaceable

Except for your feet, of course. If you’ve sorted through your closet and came up with a few pairs you need to throw out or donate, you may want to start shoe shopping. Here are some things to keep in mind:

  • If you’re looking for an exact replacement, or something very similar, bring in your old shoes to show the salesperson. It can be difficult to describe what you’re searching for. This ensures that you get the best match.
  • Bring the socks you’re planning on wearing with your new shoes. Like to wear thick socks with your winter boots for extra warmth? Take them along!
  • Always remeasure your feet! Our feet grow as we age. To avoid pain from too-tight shoes, get your feet measured every time you shop.

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, and Dr. Zachary Sax treat various foot and ankle conditions. Equipped with a board-certified podiatrist team, we offer two convenient locations to provide excellent care for patients in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280. We are still offering a telemedicine option for your safety and convenience.