Severe circulation problems in a lower extremity and open sores with infection can place a limb at serious risk. This is especially true for people with diabetes, where nerve damage and reduced blood flow can delay healing and mask early warning signs. In many cases, loss of part of the leg can be prevented when care begins early and is well-coordinated. These conditions are rarely simple. Pressure, bacteria, and poor tissue health often combine, making recovery more difficult. Successful care often involves a group of providers working together, including specialists in circulation, wound care, and foot health. Each focuses on restoring blood flow, reducing pressure, and supporting healing. Regular monitoring and patient involvement also play an important role. If you have diabetes and notice a slow-healing sore or signs of infection, it is suggested that you are under the care of a podiatrist for appropriate treatment and help in managing this serious condition. 

Diabetic Limb Salvage

Diabetic limb salvage can be an effective way in preventing the need for limb amputation. If you have a foot ulcer and diabetes, consult with One of our Practitioner from Frankel foot & Ankle. Our practitioner will assess your condition and provide you with quality foot and ankle treatment.

What Is Diabetic Limb Salvage?

Diabetic limb salvage is the attempt of saving a limb, such as the foot, that has an infected ulcer, from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. 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.

Diabetes is the number one cause of non-traumatic amputations in the United States. Amputation has been found to lead to higher mortality rates. 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 offices located in Milford, PA Middletown, NY Warwick, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot tendinitis occurs when one or more tendons become irritated or inflamed, often due to overuse or strain. Pain may develop along the top, side, or arch of the foot, and it can feel achy, sharp, or tight with movement. The area may appear slightly swollen and tender to the touch, and discomfort often worsens during walking, running, or standing for long periods. Foot tendinitis is commonly linked to repetitive activity, sudden increases in exercise, improper footwear, or structural imbalances in the foot. A podiatrist can evaluate the affected tendon through a physical exam and may use imaging to confirm the diagnosis. Treatment typically focuses on reducing inflammation and restoring function with supportive footwear, custom orthotics, and targeted exercises to strengthen and stabilize the foot. Early care can help prevent worsening symptoms or chronic injury. If you have ongoing foot pain, it is suggested that you make an appointment with a podiatrist.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with One of our Practitioner from Frankel foot & Ankle. Our practitioner will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact our offices located in Milford, PA Middletown, NY Warwick, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Night splints are often used to help manage plantar fasciitis, a common cause of heel pain. This condition develops when the plantar fascia, a thick band of tissue that supports the arch, becomes strained or irritated. Pain is usually worse in the morning because the tissue tightens overnight. Night splints hold the ankle in a gentle upward position so that the foot is kept slightly flexed toward the leg. This position helps maintain a stretch on the calf muscles and plantar fascia while sleeping. Traditional adjustable splints allow a wider range of stretch, while dorsal splints provide less stretch but may feel more comfortable. Research shows that both types can reduce pain and improve function with consistent use. A podiatrist can confirm the diagnosis, assess foot structure and movement, and recommend the most appropriate splint and supportive treatment plan. If you are experiencing foot pain from plantar fasciitis, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact One of our Practitioner  from Frankel foot & Ankle. Our practitioner 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 Milford, PA Middletown, NY Warwick, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

As people grow older, the feet naturally undergo changes that may increase the risk of discomfort and foot-related conditions. The supportive tissues of the feet may gradually lose elasticity and cushioning, which can lead to increased pressure on joints and bones. These changes may make older people more susceptible to foot pain and mobility concerns. Common foot problems associated with aging include arthritis, bunions, plantar fasciitis, and hammertoes. Symptoms may involve stiffness, swelling, reduced flexibility, and discomfort while walking or standing. A podiatrist can evaluate foot structure, diagnose underlying conditions, and recommend personalized treatment, such as supportive footwear guidance, custom orthotic devices, and targeted care. If you are elderly and have developed foot pain, it is suggested that you consult a podiatrist who can offer effective relief and prevention tips.

If you need your feet checked, contact One of our Practitioner of Frankel foot & Ankle. Our practitioner will attend to all of your foot and ankle needs and provide you with quality treatment.

Geriatrics and Podiatry
When people age, some common issues that may occur are bone density loss, dry skin, poor circulation, and rough brittle nails. These issues may also affect your foot health if the necessary steps are not taken to alleviate the problems.

It is important to take care of your feet because feet that are injured or diseased can affect your overall health. Having painful feet hinders your ability to do daily activities or may decrease your willingness to do the things that you need to do.

Visiting Your Geriatrician
As we age, health problems become more likely, so it is essential to visit your doctor for check-ups to ensure that you are doing the best you can to take care of your health. It is recommended to check your feet frequently for any possible cuts, bruises, swelling, corns or any other irregularities. 

Taking Care of Elderly Feet
Cracked or dry feet can be treated by applying moisturizer often. It is also important not to wear old socks because the older the sock is, the higher the possibility there will be that there is bacteria there. Wear fresh socks and make sure they fit properly.

Proper foot health means that you can have a more active lifestyle and you will not be bogged down by pain. Foot health also leads to good circulation, which is paramount for overall health.

If you have any questions, please feel free to contact our offices located in Milford, PA Middletown, NY Warwick, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Flat feet occur when the arch on the inside of the foot is low or missing, causing most of the sole to touch the ground while standing or walking. The arch helps absorb shock and spread body weight during movement. When it flattens, the foot may roll inward and place strain on muscles and joints. Some people with flat feet have no symptoms, but others develop pain in the arch, heel, or ankle. Pain often worsens after long periods of standing or walking. Swelling along the inside of the ankle, tired feet, or shoes wearing out unevenly may also occur. Flat feet may develop when arches fail to form during childhood, or when supportive tissues weaken with age. Injury, arthritis, excess body weight, or inherited conditions can also affect foot structure. If you have flat feet, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

Flatfoot is a condition many people suffer from. If you have flat feet, contact One of our Practitioner from Frankel foot & Ankle. Our practitioner will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions, please feel free to contact our offices located in Milford, PA Middletown, NY Warwick, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Clubfoot is a congenital condition in which a newborn foot appears twisted inward and downward due to abnormal development of muscles, tendons and ligaments. The exact cause is not always known, but genetics play a significant role and the condition may run in families. Environmental factors during pregnancy may also contribute. Diagnosis is often made at birth through a physical examination and sometimes confirmed with a prenatal ultrasound. Symptoms include a visibly rotated foot, limited range of motion, and stiffness, although the condition is not typically painful in infancy. A podiatrist provides early evaluation, guidance, and ongoing care through stretching, casting, bracing, and monitoring progress. Early treatment improves long-term mobility and function. If your child has been born with clubfoot, it is strongly suggested that you include a podiatrist on your health care team to ensure the best outcome for your child’s development.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact One of our Practitioner of Frankel foot & Ankle. Our practitioner can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

If you have any questions, please feel free to contact our offices located in Milford, PA Middletown, NY Warwick, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Toenail fungus, medically known as onychomycosis, is a common infection that develops when fungi enter the nail through small cracks in the nail or surrounding skin. Warm moist environments such as locker rooms and tight shoes create ideal conditions for fungal growth. The infection may begin with discoloration, thickening, or a brittle texture and can gradually worsen, if untreated. Diagnosis is confirmed through clinical evaluation and laboratory testing of nail samples to identify the specific organism. Risk factors include diabetes, poor circulation, weakened immunity, aging, and frequent exposure to damp areas. A podiatrist can provide an accurate diagnosis and offer effective treatment options to restore nail health. If you have signs of toenail fungus, it is suggested that you consult a podiatrist who can effectively treat this condition, which may include prescribed medication.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact One of our Practitioner of Frankel foot & Ankle. Our practitioner can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions please contact our offices located in Milford, PA Middletown, NY Warwick, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Gout is a form of inflammatory arthritis that often affects the joints of the feet and progresses through distinct stages. Asymptomatic hyperuricemia occurs when uric acid levels rise, but no pain or swelling is present. Acute gout is marked by sudden flare episodes with intense joint pain, redness, warmth, and swelling, commonly in the big toe. Intercritical or interval gout refers to the symptom-free periods between flares, even though uric acid crystals remain in the joint. Additionally, chronic tophaceous gout develops after years of repeated attacks and involves ongoing pain, joint stiffness, and firm crystal deposits that can damage bone and soft tissue. Early stages may seem manageable, but progression can lead to lasting joint problems. Identifying the stage helps guide appropriate care and long-term management. If foot joint pain or repeated flares occur, it is suggested that you see a podiatrist for appropriate care.

Gout is a painful condition that can be treated. If you are seeking treatment, contact One of our Practitioner from Frankel foot & Ankle. Our practitioner will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

If you have any questions, please feel free to contact our offices located in Milford, PA Middletown, NY Warwick, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.