Diabetic limb salvage focuses on preserving a foot or lower limb when diabetes has caused a serious wound. Diabetes can damage nerves in the feet, making injuries harder to notice. Blood vessel disease can further complicate diabetic foot ulcers by reducing circulation needed for healing. When a small injury progresses, it may develop into persistent ulceration and eventually damage bones or joints. Advanced diabetic foot disease can lead to limb loss when the damage becomes too extensive to reconstruct. For this reason, assessment and timely management are important when diabetic foot wounds develop.

Not every diabetic foot wound requires the same approach. The source describes limb salvage as a possible option for appropriately selected patients with complex or complicated wounds. Evaluation of blood flow is essential because narrowed arteries can interfere with healing. In some cases, circulation must be improved before treatment of the ulcer can move forward. More serious wounds may require removal of damaged tissue followed by reconstructive surgery. However, deciding whether reconstruction is appropriate requires evaluation because some wounds may be too advanced for successful salvage.

A podiatrist can play an important role in identifying diabetic foot problems and determining when more advanced care is necessary. Evaluation may include checking the wound and assessing changes related to nerve damage. Blood flow must also be considered. Diabetic limb salvage can involve several specialists when circulation problems or complex reconstruction are present. The goal is to manage serious diabetic foot wounds while preserving a functional limb whenever reconstruction is appropriate. Early attention is important because progressive ulcers can damage deeper structures and make limb preservation more difficult. If you have diabetes and develop a persistent foot ulcer or foot wound, it is suggested that you consult a podiatrist promptly for an evaluation and appropriate treatment options.

Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with Jennifer M. Kern, DPM from South Carolina. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Limb Salvage?

Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. 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.

However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. 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 West Columbia, SC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Falling at work can injure the feet and ankles through sudden twisting, impact, or excessive force. A workplace fall may affect bones, ligaments, or nerves. Symptoms can include pain, swelling, and difficulty bearing weight. Some injuries appear immediately, while others become more painful as inflammation develops. Even when a person can still walk, an injury may require professional evaluation.

Ankle sprains are common after a fall and occur when ligaments supporting the joint are stretched or torn. Fractures happen when bones crack or break from impact, twisting, or compression. Achilles tendon injuries affect the strong tendon connecting the calf muscles to the heel and can range from irritation to a complete rupture. Additionally, nerve injuries may cause numbness, tingling, burning, or changes in sensation around the foot or ankle.

Workplace risks include wet floors, uneven surfaces, and poor lighting. Employees who climb stairs, work at heights, or carry materials may face additional fall hazards. Previous injuries can also increase risk because the foot or ankle may have reduced strength, flexibility, or stability. Recognizing hazards and reporting unsafe conditions can help reduce preventable workplace injuries.

A podiatrist evaluates the injury by reviewing the accident and examining the foot and ankle. The assessment may include checking circulation, sensation, and joint stability. Imaging can help identify fractures or significant soft-tissue damage. Treatment may include wearing protective footwear, bracing, and activity modification, depending on the diagnosis. Follow-up appointments allow the podiatrist to monitor healing and adjust care as needed. If you have suffered a foot injury after falling at work, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Jennifer M. Kern, DPM from South Carolina. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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

Toenail fungus, also known as mycosis nail fungus or onychomycosis, is a fungal infection that develops in or beneath a toenail. It can begin gradually, making early changes easy to miss. Common symptoms include yellow, white, or brown discoloration, along with nails that become thick, brittle, or separated from the nail bed. Although toenail fungus is usually not dangerous, prompt care can help prevent the infection from becoming more difficult to treat.

There are several types of toenail fungus. Distal subungual infection is the most common and typically begins beneath the nail tip before spreading deeper. White superficial infection affects the nail surface and may cause chalky white patches. Additionally, proximal subungual infection begins near the nail base and gradually moves outward. These infections can develop after exposure to fungi in warm, damp environments. Walking barefoot in shared showers, using contaminated nail-care tools, and wearing sweaty footwear can increase exposure. Risk factors include diabetes, poor circulation, and a weakened immune system. 

A podiatrist will examine the affected nail and look for other conditions that may cause similar changes. When needed, a small nail sample can be tested to confirm a fungal infection. Treatment depends on the type and severity of the infection. A podiatrist may recommend prescription topical antifungal medication or oral antifungal medicine. The nail may also be carefully trimmed or thinned to improve medication contact. Keeping feet clean and dry, changing socks regularly, and choosing breathable footwear can support treatment and help reduce recurrence.

Toenail fungus can be unsightly and uncomfortable. If you notice changes in toenail color, thickness, or texture, it is suggested that you consult a podiatrist for effective treatment solutions.

For more information about treatment, contact Jennifer M. Kern, DPM of South Carolina. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please contact our office located in West Columbia, SC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Poor circulation happens when blood does not flow effectively to parts of the body. The feet are vulnerable because they are far from the heart. Reduced blood flow can limit the oxygen and nutrients reaching the tissues. Signs can include numbness, tingling, and swelling. The feet can also feel unusually cold or develop changes in skin color. Poor circulation can contribute to aching or cramping in the legs and feet. Wounds can also heal more slowly when the tissues do not receive enough blood.

Several health problems can interfere with circulation. Atherosclerosis occurs when plaque builds up inside arteries, causing them to narrow and harden. When this problem affects the limbs, it is called peripheral artery disease, or PAD. Diabetes can also damage blood vessels and contribute to circulation problems. Blood clots can restrict or completely block blood flow. Smoking can narrow blood vessels and increase plaque buildup. Limited physical activity can also raise the risk of conditions linked to poor circulation. These causes make persistent changes in the feet important to evaluate.

A podiatrist can examine the feet for signs that blood flow is reduced. The evaluation can include checking skin color, temperature, and pulses in the feet. A podiatrist can also look for sores that are healing slowly and changes in the toenails or skin. Tests can help determine whether circulation problems are affecting the lower limbs. Treatment depends on the cause and severity of reduced blood flow. Early evaluation is important because poor circulation can interfere with wound healing and increase the risk of serious foot complications. Regular podiatric care can help protect vulnerable feet and identify concerning changes before they become more severe. If you have symptoms of poor circulation, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. If you have any concerns with poor circulation in your feet contact Jennifer M. Kern, DPM of South Carolina. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

• Numbness
• Tingling
• Throbbing or stinging pain in limbs
• Pain
• Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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