Bandages have come a long way since Johnson & Johnson released the Band-Aid in 1920. It was a major advancement when non-stick Band-Aids were developed for kids and when bandages already saturated in antibiotic ointment were created. Now, bandages are evolving to keep up with growing trends in technology. New, “smart” bandages can be especially beneficial for those with diabetes as the risk of developing a foot ulcer is 25% in patients with diabetes. Podiatrists at The Center for Podiatric Care and Sports Medicine discuss this new technology and how it could have the potential to save limbs.
Hand, foot, and mouth Disease (HFMD) sounds like a plague straight from the Dark Ages. Yet, it’s a common virus outbreak, primarily affecting children under five years old in daycare settings. Epidemics tend to break out every three years in the United States. HFMD can be caused by the coxsackievirus A16, which usually results in mild and self-limiting symptoms, or by enterovirus 71, which may cause more serious or even fatal complications. During outbreaks, we frequently diagnose cases of HFMD at The Center for Podiatric Care and Sports Medicine in NYC. The case of Mets’ starting pitcher Noah Syndergaard going on the disabled list for HFMD caught our eye because it’s less commonly associated with adults.
NYC podiatrists at The Center for Podiatric Care and Sports Medicine urge caution with every blister. What might seem like a small bubble on the skin, in response to pressure and friction, could turn out to be your worst nightmare. A flesh-eating bacteria, also called necrotizing fasciitis, mimics the symptoms of a basic blister but kills one in four people who suffer it. Knowing the early signs and how to care for foot blisters, in general, will give you the best chance at protecting yourself from preventable, life-threatening infection.
NYC podiatrists do their best to keep wounds clean, dry, and free from infection. Yet, individual healing factors can be unpredictable. According to published data, the incidence of postoperative surgical site infection following foot and ankle surgery is reported between 1.0% to 5.3%. Diabetics are the most at-risk patients for infected, non-healing wounds. An estimated 25% of diabetics will develop a foot ulcer at some point in their lifetime. Many patients have misconceptions about caring for open ankle and foot wounds. Dr. Katharine Lai is a Board-Certified Foot Surgeon who has lectured extensively on Diabetic Foot Wound Care. She shares expert insights for foot wound care in today’s blog.
Lifting the trade embargo with Cuba that has been in place for more than 50 years could bring Americans advanced medicines that were previously unavailable, such as a Meningitis B vaccine, cheaply produced interferon and streptokinase, and a revolutionary new drug for advanced-stage diabetic foot ulcers. As New York podiatrists, we welcome any safe, effective treatment that can prevent amputations — a worst case scenario, but a tragic reality for 185,000 American patients each year.
There are many ways to prevent blisters these days, with a wide range of insoles and shoe cushions available over-the-counter. Blisters are more than just unsightly and uncomfortable, Fox Newswarns in their article about “Six Health Threats You Can’t Ignore.” Here at our NYC Center for Podiatric Care and Sports Medicine, we see a lot of blisters that have caused tremendous trouble for their owners. Find out why!
Every year, male patients end up in the hospital on IV antibiotics due to preventable foot infections. A blister creates an opening into the body that invites microbes like bacteria and fungus. Once inside, these pathogens wreak havoc on the body and cannot be stopped without antifungal or antibacterial medication. Athlete’s foot is one of the more common foot infections that may manifest as blisters on toes. Untreated toenail fungus can lead to complications such as: the loss of toenails, deformity, difficulty walking, foot ulcers and gangrene. Ciclopirox gel is a prescription medication that can work against both sources of infection, but the infection must be caught relatively early for it to be effective.
Sometimes blisters are not really blisters at all. Psoriasis, eczema, contact dermatitis and allergic reactions are commonly misdiagnosed as blisters. These itchy autoimmune disorders will often spread to other parts of the body and will require a different type of treatment from a dermatologist or podiatrist. Furthermore, that “blister” could be a tick burrowing into the foot (as pictured above), a bug bite, or a bee sting. While these are usually harmless, bites from certain types of spiders and ticks can be a real health danger.
Diabetics should have every cut and blister looked at by a podiatrist. Since diabetics suffer from poor circulation, the smallest wound could take a very long time to heal – or, in some cases, may not heal at all without advanced treatment. The longer an open wound is present, the more opportunity there is for infection to develop. There are literally hundreds of types of microbes on our feet – and some of these are harmful to our health. According to the Infectious Diseases Society of America, “Nearly 80 percent of all nontraumatic amputations occur in people with diabetes – and 85 percent of those begin with a foot ulcer.” Worse yet, almost half the people who require amputation die within five years. That is a chance you do not want to take!
Each year, there are over 80,000 lower-limb amputations on diabetics in America. “Diabetes is what has formed this industry and keeps it afloat,” Rob Burris, an artificial limb designer for Hangar Prosthetics tells KLAS-TV News. “If you look at all the numbers, from accidents, or illness, or cancer, they are nothing compared to the number people that lose them because of diabetes-related causes.”
“I am so grateful for having had Dr. Geldwert perform bunion surgery on both of my feet. I have complete confidence in him and continue to see him for other sports related injuries. I was cautious about having surgery for the first time, but his knowledge, patience, and skill made me completely comfortable in trusting him. And I couldn’t be any happier with the results!! When anything else feels wrong with my feet, I love that I now know to go immediately to him. He is my top choice for anyone searching for the best foot fixer/surgeon/sports doctor in NYC! Thank you, Dr. Geldwert!!!”
– J. M., Manhattan, NY
Manhattan Office 111 East 88th Street New York, NY 10128 (212) 996-1900 See map here
Westchester Office 10 Mitchell Place Suite 105 White Plains, NY 10601 See map here
Manhattan Orthopedic and Sports Medicine 57 West 57th Street New York, NY 10019 (212) 996-1900 See map here
Dr. Josef J. Geldwert DPM, Dr. Katherine Lai DPM, Dr. Ryan Minara, DPM, and Dr. Mariola Rivera DPM serving Westchester County, White Plains, Ardsley, Bronxville, Harrison NY, Larchmont, Mamaroneck, New Rochelle, Rye, Scarsdale, Rye Brook, Chappaqua, and the surrounding area.
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