If you need a more accessible version of this website, click this button on the right. Switch to Accessible Site
We are OPEN and following all CDC Guidelines

Jim Maxka, DPM

Hanover (717) 524-1034


June 2021

Foot wounds are an unfortunate reality for many people with diabetes. Detecting and helping to prevent foot ulcers from occurring—and seeking treatment if they do—is extremely important for anyone with diabetes. Because diabetes can reduce circulation and feeling in the legs and feet, detecting a foot wound can be difficult. That’s why it’s important to examine your feet every day—particularly the bottom of the feet where ulcers can often develop. Early detection of cuts, cracks, sores, blisters or other changes in the skin can help prevent these minor abrasions from devolving into a wound. Foot wound prevention also includes wearing comfortable shoes that fit well, keeping your toenails trimmed straight across and not too short, and wearing compression socks that can help blood flow, and keep feet dry and bacteria-free while reducing pain and swelling. It is also suggested that people with diabetes seek the professional care of a podiatrist who can provide additional prevention measures—and treat any wounds if they do occur.

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 Dr. Jim Maxka from South Penn Foot & Ankle Associates. 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 feel free to contact our office located in Hanover, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Wound Care
Saturday, 19 June 2021 00:00

Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Tuesday, 15 June 2021 00:00

What Can Cause Cuboid Syndrome?

The cuboid bone is one of seven tarsal bones in the foot and is found between the fourth and fifth toes. The medical condition that is known as cuboid syndrome can produce pain in the outside of the foot, and it can be difficult to walk. It can occur as a result of a foot injury that can include twisting the ankle, or unexpectedly stepping off a curb. Additionally, repetitive stress on the foot may lead to cuboid syndrome. Some patients develop this ailment from not stretching adequately before a workout, or it may happen from performing physical activities on uneven surfaces. It is beneficial to stop the activity that caused this syndrome, and it can help to perform specific stretching techniques which may accelerate the healing process. Please consult with a podiatrist  if you would like more information about cuboid syndrome.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Dr. Jim Maxka from South Penn Foot & Ankle Associates. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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

 

Read more about Cuboid Syndrome

There are patients who have found their gait or walking style may have been altered if their lifestyle includes frequently wearing flip flops. The heel and ankles can negatively be affected, in addition to the skin on the feet when flip flops with no backs are worn often. Many people choose to wear this type of shoe for their ease and colorful designs, despite the potential damage they may cause. The toes can naturally scrunch in an effort to keep the shoe on the foot and performing this motion repeatedly can overstretch the plantar fascia, which is the band of tissue that connects the heel to the toes. If you enjoy wearing flip flops,please consult with a podiatrist who can recommend a more supportive sandal that can have less harmful side effects on the overall foot.

Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact Dr. Jim Maxka from South Penn Foot & Ankle Associates. Our doctor will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

When the weather starts warming up, people enjoy wearing flip-flops.  Flip-flops are comfortable, stylish, and easy to slip on and off; they're perfect for any summer beach goer.  However, these shoes can cause harm to the feet.

How Can Flip-Flops Affect Me Long-Term?

  • Ankle problems
  • Hip problems
  • Lower back problems
  • Pain in the balls of the feet
  • Problems with foot arches
  • Changes in the way you walk

Are There Injuries Associated with Flip-Flops?

Yes.  Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops regularly are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections.  Common injuries and ailments include:

  • Sprained ankles
  • Blisters
  • Infections
  • Cuts and Scrapes

I like Wearing Flip-Flops. Are There Safe Alternatives?

When buying flip-flops, try to find ones that have sturdy soles and that are made of high-quality materials that will support for your feet.  These flip-flops will cost more but will also last longer as a result.

If you have any questions please feel free to contact our office located in Hanover, PA .  We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Flip Flops and Feet
Tuesday, 01 June 2021 00:00

Arthritis and the Big Toe

Osteoarthritis, the type of arthritis that is associated with aging, can affect any joints in the body, including the big toe joint. As we age, the cartilage that lines joints breaks down due to wear and tear, causing symptoms such as swelling, pain, and stiffness in the affected joints. Osteoarthritis in the big toe can cause tenderness, achiness, and joint pain in the toe in its initial stages. As the arthritis progresses, you may also begin to feel burning or nerve pain in the toe. The symptoms are typically present at rest, and particularly after long periods of sitting or inactivity. Arthritis can also lead to excess bone growth in the big toe, causing the joint to fuse and become immobile. If you have symptoms of arthritis in your toes, please see a podiatrist for treatment.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Dr. Jim Maxka from South Penn Foot & Ankle Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

  • Exercises that stretch the foot can prevent further pain and injury and increase mobility
  • Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
  • Massages can help temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.

If you have any questions, please feel free to contact our office located in Hanover, PA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about How to Care for Your Arthritic Foot
Connect with us