Items filtered by date: June 2025

For diabetics, foot ulcers and infections can escalate quickly, sometimes leading to the threat of limb loss. Limb salvage is more than preserving a foot or leg. It can be critical to survival. Studies have shown that major limb losses are linked to a significant drop in life expectancy and quality of life. Preventing this outcome involves early detection, advanced wound care, and improved circulation. Coordinated treatment is also important to control infection and protect tissue. Limb salvage often includes working with a podiatrist and other health care providers to address the full scope of the problem. Saving the limb also helps preserve mobility, independence, and overall health. If you have a non-healing wound or signs of infection in the foot, it is suggested that you are under the care of a podiatrist who can provide a proper diagnosis and appropriate treatment.

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 Scott Matthews, DPM, MD from Salem Foot Care . Our doctor 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 office located in Wikesboro, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A foot stress fracture is a tiny crack in the bone, often caused by repetitive force or overuse, and is most commonly found in the toes, midfoot, or heel. It typically starts with dull, aching pain that gradually worsens with activities like walking, running, or standing for long periods. The pain is usually focused on one specific spot and may feel mild at first, leading many people to overlook it. What makes a stress fracture tricky is that it usually does not cause visible swelling or bruising, unlike other injuries. As the fracture progresses, the pain may become sharp and more limiting, interfering with everyday movement. A podiatrist can diagnose a stress fracture through imaging tests, such as X-rays or MRIs. Treatment usually involves reducing weight or pressure through crutches, a walking boot, or rest. In rare cases, surgery may be necessary if the fracture does not heal properly. If you suspect a stress fracture, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and appropriate care.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Scott Matthews, DPM, MD from Salem Foot Care . Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                  
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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

Young children often run barefoot or in thin shoes, which makes stepping on sharp objects more common than many parents expect. Whether it is a splinter, nail, or shard of glass, puncture wounds to the bottom of the foot can be more serious than they first appear. These injuries may seem small on the surface but can drive debris deep into soft tissue, increasing the risk of infection or damage to deeper structures. Early signs such as swelling, redness, or limping should not be ignored. Proper cleaning is important, but some wounds may require medical attention, especially if the object was dirty or the child is overdue for a tetanus shot. If your child has pain or difficulty walking after a puncture wound, it is suggested that you see a podiatrist as quickly as possible for a complete evaluation and care plan.

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 Scott Matthews, DPM, MD from Salem Foot Care . 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 Wikesboro, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Thick toenails can result from several causes, including toenail fungus, aging, or past trauma to the nail. Fungal infections are one of the most frequent culprits, causing the nail to become discolored, brittle, and misshapen. As people age, nail growth slows and thickens naturally. Injuries, even minor ones, can also damage the nail bed, leading to long-term thickening. Thick toenails may appear yellow, white, or brown, and often feel hard, rough, or crumbly. They can be painful, especially when wearing shoes. Trimming them often becomes difficult. A podiatrist can determine the exact cause through examination or lab testing. Treatment depends on the cause and includes topical or oral antifungal medications, trimming and thinning the nail, or permanent nail removal, in severe cases. Proper foot hygiene and footwear advice are also part of long-term care. If you have toenail fungus, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment solutions.

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 Scott Matthews, DPM, MD of Salem Foot Care . Our doctor 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 feel free to contact our office located in Wikesboro, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.