Foot Problems from Diabetes

Diabetes affects millions of Americans and can cause additional issues outside of just the diagnosis itself. Roughly one in ten Americans have diabetes, which amounts to roughly 34.2 million Americans. This is not even counting those who are prediabetic and more susceptible to getting diabetes. One of the major issues that comes with diabetes is foot problems. Below you will find information on how you can prevent foot problems from diabetes and what you should do if you notice any issues with your feet after a diabetes diagnosis.

Foot Problems from Diabetes

The connection between diabetes and your feet may not be obvious at first, especially for those outside of the medical field. With that, high blood sugar levels among those with uncontrolled diabetes can cause peripheral neuropathy. This is a fancy medical term that means numbness and loss of sensation. Peripheral neuropathy makes it so those with diabetes cannot feel various sensations because of nerve damage from really high and uncontrolled blood sugar levels. This is most often in people’s hands and feet, but impacts people’s feet the most as it is easier to go unnoticed.

People often cannot feel pressure or even a sense of touch. However, the condition is painful and can cause sensations such as tingling and burning. Because of this issue, wounds are often not felt immediately as they normally would, and it can go unnoticed, especially without careful supervision. On top of that, poor circulation due to diabetes can also make it so the body has a more difficult time healing the wounds. As distant as a diagnosis of diabetes and foot issues may sound, they are very much interlinked.

Diabetic Foot Ulcers

One of the most common foot problems among those with diabetes is foot ulcers. If your diabetes is mismanaged, diabetic foot ulcers are common. Managing diabetes involves focusing on diet, exercise, and insulin treatment. With this, a diabetic foot ulcer can form as a result of the skin tissue breaking down and exposing the vulnerable layers underneath. Foot ulcers most often occur on your toes or the balls of your feet.

If they go unchecked, they can literally impact your foot down to the bone, which runs a major risk of infection. Infections can spread from your feet to your whole body and be extremely harmful. In some cases, it can lead to amputation. Treatment depends on the severity of the ulcer, where it is located, and your current state of health. However, your podiatrist will be focused on protecting your foot, preventing infection, and treating any infected tissue as soon as possible.

Tips for Prevention

Prevention is vital as research has shown that nearly half of diabetic ulcers result in infection.

  • Focuse on your blood sugar levels
  • Maintain a healthy diet
  • Focuse on moderate and consistent exercise

Together, these can do wonders for your health if you have diabetes. However, it is equally as important to check your feet daily for any potential sores. It helps to wash them in the shower, keep them dry and moisturized, and wear shoes that are breathable. It helps your overall health to regularly visit the doctor to ensure catching any issues as early as possible.

Podiatrist in Los Angeles

If you have diabetes and are concerned about issues with your feet, contact Dr. Jamshidinia at Jamfeet. He is a board-certified surgeon trained in all areas of foot and ankle treatment and surgery. Dr. Jamshidnia and his team believe in comprehensive patient care and focus on getting you back to full health. Contact the best podiatrist in Los Angeles today for an appointment!

Unhealthy Shoes for Your Feet

While many areas of your body are important, your feet play a huge role in your ability to move around. Having unhealthy shoes for your feet is a big problem. And having shoes that provide you with the proper support to move around without any risk of falling or injuring yourself is important for the long-term mechanics of your body. This is because if you have issues with your feet, it will likely lead to issues with your:

  • Ankles
  • Knees
  • Hips
  • Back

Your feet set the tone for the mechanics of your walk, and having everything in alignment can keep you healthy and feeling good. Below you will find the worse shoes for your feet and why you should avoid them.

Unhealthy Shoes for Your Feet

Fads, trends, and fashionable shoes cannot be your first priority for the long-term health of your feet and body. Below are some of the shoes you should steer clear of despite how cute they may be.

Ballet Flats:

These are super convenient and comfy, but they are not a good choice for your footwear. There’s literally zero arch support, and you can easily roll your ankle. If you have a must-have pair of ballet flats that you cannot live without, consider orthotic inserts. This can help with the lack of support and keep you feeling your fashionable self without all the risk.

Flip Flop Sandals:

Just like ballet flats, these provide no arch support. And you can definitely run the risk of rolling your ankle. Flip flops can easily get caught on things when you are walking, which further risks your safety. Understandably, flip flops are a go-to show as you can easily slide them on when you need them. Opt for a fitted flip flop with thick bottoms as they will provide more support and reduce the risk of injury.

High Heels:

While everyone loves to add a few inches to their stature, high heels are a no go when it comes to footwear. They put your foot in an unnatural position and increase the risk of ankle sprains. If your profession requires heels, drop down a few inches and stick to very low, chunky heels. Avoid stilettos at all costs. They are the riskiest due to the fine tip of the heel and the major lack of ankle support.

Wedges or Platforms:

These, like high heels, can cause a lot of problems for your feet, in addition to your ankles, knees, hips, and back. The risk of rolling your ankle is just as bad as they are often very high. There are platforms that are much lower to the ground and flat, so you can have the best of both worlds without the safety risk.

Issues Due to Unsupportive Shoes

For those who continue to wear unsupportive shoes, it’s possible that you could develop bunions. Bunions are bony bumps located on your big toes, which can be caused due to issues with your shoes. Most often, heels are the culprit. So ensuring your footwear is supportive is key.

If you have been diagnosed with bunions, bunion surgery is likely necessary. It is the most common and effective treatment option for the condition. A podiatrist will provide you with the best possible treatment and aftercare to ensure the issues don’t occur again. As with all medical issues, treatment sooner than later is better for your long-term health.

Foot and Ankle Beverly Hills

If you are having issues with your feet or are concerned you may have bunions, contact Dr. Jamshidinia at Jamfeet. He is a board-certified surgeon trained in all areas of foot and ankle treatment and surgery. Dr. Jamshidnia and his team believe in comprehensive patient care and focus on getting you back to full health. Contact foot and ankle Beverly Hills today for an appointment!

Worst Shoes for Your Feet

Supportive shoes can prevent ankle, knee, hip, and back pain if worn regularly. Finding the right shoes is an investment in your future as nobody wants to struggle with the pain caused by unsupportive footwear. Your feet are the foundational support for your entire body, so supportive shoes are key. Below are some of the worst shoes for your feet that you should avoid at all costs.

Avoid These Shoes

Fashion is fun, but it’s likely not worth the pain later. The following shoes will wreak havoc on your body:

High Heels:

It is almost common sense that heels are some of the worst shoes for your feet. Heels change the alignment of your body and put major stress on your legs, hips, and back. Wearing heels regularly can even cause your Achilles tendon to tighten and shorten. They also put more pressure on the balls of your feet, impacting the natural padding in your feet. Avoid wearing heels if possible, as they can have a lasting impact on your body.

Platforms:

Similar to heels, platforms can cause a lot of issues and lead to major hip and back pain. They also put you at a much higher risk for rolling your ankle, which can cause even more problems.

Ballet Flats:

These provide very little support and cushion for your feet. They also have zero arch support, which can lead to plantar fasciitis. Plantar fasciitis is caused by the excessive pulling on the plantar fascia, an important arch-supporting ligament. This can cause pain and inflammation in your heels. Opt for a more supportive shoe or use sole inserts to compensate for the lack of support.

Flip Flops:

Similar to flats, flip flops provide zero support. In addition to plantar fasciitis, you can develop Achilles tendinitis, bone spurs, and even hammertoe. Poor mechanics cause tendinitis in the foot, which leads to overstretching of the tendon. Other types of supportive sandals can provide you with the free feel of flip flops.

Pointed-Toe Shoes:

High heels or flats with pointed toes negatively impact the mechanics of your toes. If worn consistently, pointed-toe shoes can cause your toes to permanently curl under. This requires medical intervention, so choose shoes that allow your toes to rest naturally.

Flexible Shoes:

If you can bend or twist your shoes easily, they will not support your feet, ankles, or arch. Try and avoid shoes that can bend in half altogether if possible.

Podiatrist Approved Footwear and Tips

  • Sneakers: Athletic shoes that fit your arch are the most supportive option when it comes to footwear. Most sneakers last about 500 miles (or roughly six months), so be sure you don’t continue wearing them after they’re worn out. You risk injuring yourself if you do so.
  • Wedges: If you are truly focused on wearing shoes that give you some height, consider low wedges. You shouldn’t go higher than 1.5 inches as it can impact the mechanics of your gate and put pressure on your knees, hips, and back.

You should rotate what shoes you wear every few days. Avoid wearing the same pair of shoes for more than four days in a row. Alternate your footwear as much as possible. You should also wear very supportive footwear if you know you will be standing or moving for a long time.

 

If your feet are causing you pain, visit the top Los Angeles foot surgeon today!

Dr. Jamshidinia in Los Angeles

If you are having issues with your feet or need help finding the right footwear, contact Dr. Jamshidinia at Jamfeet. He is a board-certified surgeon and a top foot and ankle doctor in Los Angeles and surgery. Dr. Jamshidnia and his team believe in comprehensive patient care and are focused on getting you back to full health. Contact Jamfeet today for an appointment!

How to Prevent Blisters While Running

For those who are avid runners or just starting out, nothing can halt your progress like a blister. Dealing with blisters can be painful and extremely uncomfortable. The best thing you can do for your feet is to try and prevent blisters before they cause you any problems. In the case that you can’t, there are ways to treat blisters once you have them.

If you have more questions about your foot health, reach out to top podiatrist in Los Angeles, Dr. Jamshidinia today!

What is a Blister?

Blisters are small, fluid-filled bubbles on the outer layers of your skin. Most blisters occur due to friction. They arise when something continuously rubs up against your skin. Blisters are wounds that take time to heal and properly caring for them is important.

The best thing you can do for your feet is to prevent these painful skin irritations. Below you will find some helpful prevention methods to keep your feet prepped and ready for your next run!

  1. Socks: Blisters are a response to friction. With that, wear socks that are breathable like nylon. Stay away from cotton as it can absorb any moisture and cause more friction between your sock and skin. Some runners will even double up on their socks. The socks then rub against one another versus your foot.
  2. Powders or Creams: There are special creams and powders that address friction and prevent blisters. If you have a spot on your foot that you know is going to cause you issues again, try an over-the-counter treatment. You can use foot powder, cream, or even Vaseline if you are in a pinch.
  3. Footwear: Because blisters are caused by friction, ill-fitting shoes, excessive moisture, or even the wrong socks can sabotage your running goals. Find the right footwear for your running goals. You’ll need something that is breathable to minimize moisture. You will also need shoes that fit well. If your shoes are too tight or too loose, you will run into problems with blisters due to unnecessary friction.
  4. Tapes: Similar to the powder or cream prevention method, tape can also help prevent blisters. For those areas on your feet prone to blisters, use moleskin or a specialized blister tape. There are some products on the market that are even water-resistant so they will protect you no matter how much moisture accumulates while you are running.
  5. Hydration: Keep your feet moisturized. Use lotion after you shower and be sure you don’t have any cracks or excessive dryness. This will worsen the friction and cause painful blisters.

Treating Blisters

If you weren’t able to prevent a blister, you’ll need to care for it safely and properly. Below you will find some helpful tips on how to treat your blister.

  1. Leave It: If possible and practicable, leave your blister alone. Many smaller blisters will heal on their own. If you got the blister from a certain pair of shoes or running, try the prevention methods above next time.
  2. Protect It: Blisters on your feet will likely need protection. You can use a band-aid or cut out a cushioned piece of moleskin. Place the cutout portion where the blister is so that the padding can cushion any pressure that would have directly impacted the blister. Make sure to allow airflow as your blister will need it to heal.
  3. Drain It: If your blister is really painful or filled with a lot of liquid, it’ll likely need to be drained. While this can be done at home, there are risks. When draining a blister there is a major risk for infection as you will be puncturing the skin on your own. If you think you need to drain your blister, contact a professional for advice before doing anything yourself.

Dr. Jamshidinia in Los Angeles

Dr. Jamshidinia at Jamfeet is a board-certified foot surgeon trained in all areas of foot and ankle surgery and treatment. Dr. Jamshidinia and his team believe in comprehensive patient care and are focused on getting you back to full health. Contact Jamfeet for any of your foot or ankle needs!

What Your Shoe Fit Says About Your Health

Most of us have a pair of shoes we wear on a regular basis. A beloved pair of flats or perhaps our most comfortable tennis shoes. We all know the sadness of when that perfect pair begins to show its age. You might notice they are looser or lean to one side. The patterns of wear on the bottom of your shoes actually provide important information regarding your gait, which can affect your comfort and general health. How should your shoes fit?

According to the American Academy of Podiatric Sports Medicine, shoe fit is an important indicator of the user’s biomechanics. Ideally, wear is relatively symmetrical, with a very slight increase on the inside edge of the sole. A dramatic shift of wear towards the inside of the sole is indicative of pronation, meaning more weight is placed on the inside edge of the foot when it strikes the ground. The opposite pattern is known as supination.

Effects of Improper Shoe Fit

Both supination and pronation are typically linked to genetic factors, such as a difference in leg length. Wearing footwear without proper support can also be a contributing factor. These conditions are relatively common, but both gait patterns can cause problems if they become excessive. Medical News Today states that both supination and pronation cause an increase in stress at the ankle, increasing the likeliness of pain and injury. As a result, it is important to identify and address irregularities in your gait.

Shoe Fit Beyond the Feet

In addition to increased ankle stress, the irregularity of either walking pattern can have a domino effect that can alter overall posture and lead to discomfort in the knees, hips, and back. One scientific study published by Oxford journal’s Rheumatology found that although supination showed no strong correlation with lower back pain, pronation did, especially in female subjects. By contrast, subjects with supination were more likely to exhibit localized issues. This includes but is not limited to hammertoes, shin splints, and stress fractures.

Foot Treatment

Fortunately, both irregular gait conditions can usually be treated with proper care. Reid Health notes that choosing appropriate footwear and purchasing a rigid orthotic insole are great ways to address gait irregularity because the structure of the shoe and insole help maintain the spatial relationship between the foot and the ankle by realigning the subtalar joint. However, there are some cases where foot surgery may be necessary to correct the problem.

For these cases, Jamfeet in Beverly Hills offers a wide variety of options for addressing both pronation and supination as well as the conditions that often accompany them. Doctors Jamshidinia, Alfandari, and Khademi are highly experienced podiatrists licensed by the American Board of Podiatric Surgery. Their countless five-star testimonials speak to their experience and professionalism in regard to the feet that keep us moving.