Categories
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!

Categories
blog Plantar Warts

Why Won’t My Plantar Wart Go Away?

A Podiatrist’s Guide

Those plantar warts just won’t go away. You may have tried countless over-the-counter remedies, hoping they would just disappear…only to have them stick around or, even worse, come right back. It’s a common story, but New England Podiatryis here to help. This guide will explain why plantar warts are so persistent, why at-home treatments often fail, and what professional options are available to finally get rid of them for good.

What Exactly Am I Fighting Against?

A plantar wart isn’t just a callus or a patch of rough skin. It’s a viral infection caused by the Human Papillomavirus (HPV). The virus gets in through tiny cuts or weak spots on the sole of your foot and creates a rough, grainy growth.

The tell-tale signs are:

  • A callus-like spot with tiny black dots in the center (these are clotted blood vessels, not “seeds”).
  • Pain when you walk or stand that feels like a stone is stuck in your shoe.

The virus is an expert at hiding from your body’s immune system, and the constantpressure of impact pushes the wart deeper into your skin.

Why Your At-Home Treatments Aren’t Working

If you’ve felt frustrated by the lack of results from pharmacy treatments, you’re not alone.

There’s a scientific reason they often fail on plantar warts.

  • Over-the-counter treatments typically use a low-strength salicylic acid.
  • The problem: the thick, toughcallus that forms over a plantar wart acts like a shield.
  • The acid often isn’t strong enough to penetrate this shield and reach the infected viral tissue deep within the skin.

More often than not, it just irritates the healthy skin around the wart without ever solving the core problem.

The Danger of “Waiting It Out”

While some skin warts on other parts of the body might disappear over time, waiting for a plantar wart to go away on its own is a bad strategy for adults. It’s highly unlikely to resolve, and waiting often makes the situation worse.

  • It Can Spread: The virus can spread, causing a cluster of “mosaic warts” to form. This is much more difficult to treat than a single lesion.
  • It Becomes More Painful: As the wart gets pushed deeper into your foot from the pressure of walking, the pain will increase.
  • It’s Contagious: You can spread the virus to other parts of your feet or even to family members through shared surfaces like showers and bathmats.

How a Podiatrist Can Help

A podiatrist has access to a toolkit of powerful, professional treatments designed to get past the wart’s defenses and eliminate the virus at its source.

  1. Prescription-Strength Topicals: We use medications that are far more effective at safely breaking down the wart tissue than anything available over the counter.
  2. Cryotherapy (Freezing): This is a common and effective in-office procedure that uses liquid nitrogen to freeze and destroy the infected tissue.
  3. Laser Therapy: A modern, highly targeted treatment that uses a specialized laser to destroy the virus and cut off the blood supply that feeds the wart, often with minimal scarring.
  4. Minor Surgical Removal: For the most stubborn, deep, or painful warts, a simple in-office procedure to excise the wart can provide immediate and lasting relief.

Break the cycle of failed treatments! An accurate diagnosis from a podiatrist will lead to an effective plan, and from there, we can remove your plantar warts for good.

Dr. Catherine Jacobs,Dr. Zachary Sax,Dr. Joshua Oulette,Dr. Ronald Etskovitz, andDr. 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! 

Categories
blog Shockwave Therapy

Foot Surgery Isn’t Your Only Option: A Guide to EPAT Shockwave Therapy

You’ve been struggling with chronic foot or ankle pain for months. You’ve tried rest, stretching, and inserts, but the pain persists, and now your doctor is mentioning the possibility of surgery. It’s a daunting prospect.

But what if there was a way to stimulate healing and find lasting relief…without a single incision? This is the promise of EPAT® (Extracorporeal Pulse Activation Technology), also known as shockwave therapy. In this blog, New England Podiatry will look at three common scenarios where EPAT offers a better path forward.

The Busy Professional with Plantar Fasciitis

The Scenario: You’re a teacher, a nurse, or an office worker who is on your feet all day. Sharp heel pain from plantar fasciitis has become a constant, draining part of your life.

The Surgical Downside: A traditional plantar fascia release surgery can mean weeks of non-weight bearing on crutches, followed by a long, slow rehabilitation process.

  • For someone with a demanding job and a busy family life, this extensive downtime simply isn’t a realistic option.

The EPAT Alternative: Treatment consists of a few quick, 10-15-minute in-office sessions!

The Everyday Athlete with Achilles Tendonitis

The Scenario: You love your weekend runs or pickleball games, but a nagging, chronic pain in your Achilles tendon is keeping you on the sidelines.

The Surgical Downside: Surgery for chronic Achilles tendonitis is a major procedure.

  • It involves cutting the damaged tendon, has a significant risk of complications, and requires a very long recovery, often in a cast or boot for months, followed by extensive physical therapy. For an active person, this can be a devastating setback!

 The EPAT Alternative: Shockwave therapy directly addresses the stalled healing in the tendon without any incisions.

  • The high-energy sound waves increase blood flow and stimulate the regeneration of healthy tissue.
  • It’s a way to restart the healing process and get you back to your sport faster, without the risks and lengthy rehab associated with surgery.

The Active Senior with Arthritic Joint Pain

The Scenario: Arthritis in your ankle or big toe joint has made walking painful and is starting to limit your independence and the activities you enjoy.

The Surgical Downside: A joint fusion or replacement is a highly invasive surgery, which can be a particular concern for older patients.

  • The recovery is long and can be very challenging, impacting your ability to care for yourself and your home.

The EPAT Alternative: For many seniors, EPAT is an incredibly effective and safe way to manage the pain and inflammation from arthritis.

  • By stimulating the tissue and improving circulation, it can significantly reduce pain and improve mobility.
  • It provides a powerful option for maintaining your quality of life without the significant risks and long-term recovery of a major joint surgery.

Living with chronic foot and ankle pain does not automatically mean you need surgery. If you feel like you’re out of options, it’s time to ask if you’re a candidate for EPAT!

Dr. Catherine Jacobs,Dr. Zachary Sax,Dr. Joshua Oulette,Dr. Ronald Etskovitz, andDr. 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! 

Categories
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.