A vascular exam allows a podiatrist to assess how well blood is flowing to the feet and ankles. The exam often begins with observation of skin color, temperature, swelling, and changes in hair or nail growth that may signal reduced circulation. Pulses on the top of the foot and near the ankle are gently felt to evaluate arterial flow. The podiatrist gently presses on the skin of the toes to observe how quickly normal color returns, which reflects small vessel function. In some cases, a handheld device is used to listen to blood flow more clearly. These findings help identify circulation concerns that may affect healing, nerve health, or skin integrity. Vascular assessment is especially important for individuals with diabetes, wounds, leg pain, or slow-healing sores. If changes in foot color, temperature, or healing are noticed, it is suggested that you see a podiatrist for further evaluation and appropriate care.

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with Franklin Harry, DPM from Best Foot Forward. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

• Ankle-Brachial Index (ABI) examination
• Doppler examination
• Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

If you have any questions please contact our offices located in Festus and St. Louis, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A foot ulcer is an open sore that may appear as a shallow red crater or a deep wound extending to tendon or bone. Ulcers often develop on the bottom of the foot or toes and are most common among people with diabetes, nerve damage, or poor circulation. When sensation is reduced, pressure or friction may go unnoticed, allowing skin breakdown to worsen. Limited blood flow slows healing and increases the risk of infection, cellulitis, or bone involvement. Structural deformities, arthritis, and abnormal walking patterns can also create pressure points that lead to ulcers. A podiatrist evaluates depth, tissue health, circulation, and nerve function, and may order imaging or laboratory testing to detect infection. Treatment includes removing unhealthy tissue, relieving pressure, controlling infection, and addressing biomechanical causes to promote healing and prevent recurrence. If you have developed foot ulcers, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

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 Franklin Harry, DPM from Best Foot Forward. 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 offices located in Festus and St. Louis, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Plantar fasciitis, one of the most common causes of heel pain, often develops gradually. It occurs when the plantar fascia, a thick band of tissue along the bottom of the foot, becomes irritated or strained. Many people notice sharp pain near the heel, especially with the first steps in the morning or after sitting. The foot may look normal or slightly swollen, but it can feel tight after long periods of standing. Causes include overuse, unsupportive footwear, sudden increases in activity, or foot structure issues, such as high arches. A podiatrist can begin with a detailed exam and imaging to confirm the diagnosis. Treatment includes custom orthotics, shoe guidance, anti-inflammatory care, and targeted exercises to improve strength and flexibility. Early care can reduce chronic pain, restore mobility, and help prevent long-term foot problems. If you have plantar fasciitis, it is suggested that you make an appointment with a podiatrist.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Franklin Harry, DPM  from Best Foot Forward. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions, please feel free to contact our offices located in Festus and St. Louis, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Osteoarthritis and rheumatoid arthritis both affect joints, but they develop in very different ways. Osteoarthritis is a wear-related condition that occurs when joint cartilage gradually breaks down over time. In the feet, it often causes stiffness, aching, and pain that worsens with activity and improves with rest. Rheumatoid arthritis is an autoimmune disease in which the immune system attacks joint lining. This leads to inflammation, swelling, warmth, and pain that may affect both feet symmetrically. Symptoms often feel worse in the morning or after periods of rest. Rheumatoid arthritis can also cause joint deformity if left untreated. Treatment approaches differ. Osteoarthritis care focuses on reducing stress on joints and improving movement, while rheumatoid arthritis requires medical management to control inflammation and protect joints. If foot pain, stiffness, or swelling persists, it is suggested that you see a podiatrist for an evaluation and treatment guidance.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Franklin Harry, DPM from Best Foot Forward. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

• Swelling
• Pain
• Stiffness
• Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

• Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
• Obesity – Excess weight can contribute to osteoarthritis development
• Infection – Microbial agents can infect the joints and trigger arthritis
• Joint Injuries – Damage to joints may lead to osteoarthritis
• Age – Risk increases with age
• Gender –Most types are more common in women
• Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

If you have any questions please feel free to contact our offices located in Festus and St. Louis, MO . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.