Blog

Negative pressure wound therapy, or NPWT, is an advanced treatment that helps heal stubborn wounds on the feet, toes, and ankles. This therapy uses a gentle vacuum to remove excess fluid and improve blood flow, creating an ideal environment for healing. It is commonly used for diabetic foot ulcers, surgical wounds, and other injuries that are slow to heal or at risk of infection. By reducing swelling and encouraging healthy tissue growth, negative pressure wound therapy supports the body’s natural healing process and lowers the risk of complications. A podiatrist can evaluate your wound to determine if negative pressure wound therapy is suitable, and will oversee the treatment to ensure it is applied correctly for the best results. This therapy has proven to be an effective option for people dealing with complex wounds that do not respond to traditional care. If you have foot ulcers or wounds that will not heal, it is suggested that you schedule an appointment with a podiatrist to determine if negative pressure wound therapy is right for you. 

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 one of our podiatrists from Foot Health Center of Merrimack Valley. Our doctors 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 one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ankle sprains occur when the ligaments in the ankle are stretched or torn, usually due to twisting or rolling the foot. Sprains are classified into three grades. Grade 1 is mild, where ligaments are stretched, causing mild pain and swelling. Grade 2 is moderate, with partial tearing of ligaments, and moderate pain, swelling, and bruising. Grade 3 is severe, with complete ligament tears, resulting in significant pain, swelling, bruising, and instability. Common symptoms of an ankle sprain include pain, swelling, bruising, limited range of motion, and difficulty walking. The most common causes are sports injuries, uneven surfaces, or sudden twists of the ankle. Treatment typically involves rest and elevation, along with pain relief and targeted exercises to restore strength and flexibility. In severe cases, a podiatrist may recommend immobilization or surgery. If you have suffered an ankle sprain, it is suggested that you schedule an appointment with a podiatrist for a thorough evaluation and treatment plan to prevent further injury and ensure a speedy recovery.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact one of our podiatrists from Foot Health Center of Merrimack Valley. Our doctors can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

• Pain at the sight of the tear
• Bruising/Swelling
• Ankle area is tender to touch
• In severe cases, may hear/feel something tear
• Skin discoloration

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

If you have any questions, please feel free to contact one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Gout is a painful form of arthritis that often affects the feet, particularly the big toe. Gout occurs when uric acid builds up in the body, leading to the formation of sharp crystals in the joints. People with gout frequently experience sudden nighttime attacks of intense pain, swelling, redness, and warmth in the affected area. These gout flare-ups can last from several days to two weeks and may recur periodically. While genetics can increase the risk of gout, factors such as stress, poor diet, alcohol use, and certain health conditions like diabetes and hypertension can also trigger it. Repeated gout attacks in the big toe or ankle may cause chronic pain and deformities, such as tophi, which are hardened uric acid deposits under the skin. A podiatrist can assess the severity of gout through physical examination and diagnostic testing. This foot doctor can also provide targeted treatments to manage pain, reduce inflammation, and prevent further complications. If you have recurrent flare-ups from gout, it is suggested that you make an appointment with a podiatrist for treatment remedies.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Foot Health Center of Merrimack Valley. Our doctors 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 one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

While bunions are more common in adults, they can also develop in children. Pediatric bunions often result from inherited foot structures, where genetic factors influence bone alignment. Unlike adults, children's bunions tend to be softer, although they may still cause discomfort and visible bumps on the side of the big toe. Children with flat feet or hypermobility are more prone to bunions, especially if there is a family history. Unfortunately, bunions will not go away on their own and may worsen over time, particularly as children grow and become more active. Early intervention helps prevent progression. Wearing supportive shoes with wide-toe boxes and arch support can alleviate pressure. If you have a child with a bunion, it is suggested that you schedule an appointment with a podiatrist so the severity of the bunion can be assessed, and individualized treatment options are offered for long-term foot health.

If you are suffering from bunion pain, contact one of our podiatrists of Foot Health Center of Merrimack Valley. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

If you have any questions, please feel free to contact one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ingrown toenails, a common foot issue, occur when the nail's edge grows into the surrounding skin, leading to redness, swelling, and pain. This condition often affects the big toe and can result from improper nail trimming, wearing tight footwear, or injury. In cases where pain intensifies, or infection signs like pus and increased swelling appear, it is wise to consult a podiatrist. A podiatrist can assess the severity and recommend treatments based on individual needs. They may lift the nail to relieve pressure, or in more severe cases, remove part of the nail to prevent further issues. They might also suggest preventive measures, such as proper nail-cutting techniques, footwear advice, and orthotics if foot structure contributes to the problem. If you suffer from an ingrown toenail, it is suggested that you get prompt podiatric care to alleviate pain and help prevent recurring ingrown nails and potential infections.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact one of our podiatrists of Foot Health Center of Merrimack Valley. Our doctors can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

If you have any questions please feel free to contact one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Heel spurs are bony growths that form on the underside of the heel bone, often due to repeated stress on the foot. They develop over time as calcium deposits build up in response to strain, particularly in the plantar fascia, which is the ligament connecting the heel to the toes. Many people with heel spurs feel a sharp, stabbing pain in the heel, especially when taking their first steps in the morning or after prolonged sitting. Heel spurs are common among runners, people who are overweight, and those with flat feet or high arches. While they do not disappear, symptoms can be managed effectively. A podiatrist can recommend treatments such as orthotic devices, targeted exercises, anti-inflammatory medications, or cortisone injections to relieve pain. In severe cases, surgical removal may be considered. If you have pain from a heel spur, it is suggested that you schedule an appointment with a podiatrist for care.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact one of our podiatrists from Foot Health Center of Merrimack Valley. Our doctors will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact one of our offices located in North Andover, and Tewksbury, MA . We offer the latest in diagnostic and treatment technology to meet your needs.

Sever's disease, or calcaneal apophysitis, is a common cause of heel pain in growing children, typically between ages eight and 14. It occurs when the growth plate in the heel bone becomes inflamed due to repetitive stress, often from sports or activities that involve running and jumping. Symptoms include heel pain, tenderness, and swelling, particularly after physical activity. The discomfort may worsen when walking or standing on tiptoes. Diagnosis is based on a clinical examination, medical history, and occasionally imaging scans to rule out other causes. Treatment focuses on reducing pain and inflammation through rest and targeted stretching exercises. In some cases, custom orthotics or heel cups may be prescribed by a podiatrist to provide cushioning. Most children recover fully with proper management, and the condition resolves once the heel bone finishes growing. If your child complains of persistent heel pain, is limping, or avoiding walking, it is suggested that you visit a podiatrist for a proper diagnosis and relief options.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from Foot Health Center of Merrimack Valley. Our doctors can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

An unusual systemic condition that can affect the feet is Fabry disease, a rare genetic disorder that impacts the body's ability to break down a specific type of fat. This leads to the buildup of fat in various organs, including the skin, nervous system, and kidneys. In the feet, Fabry disease often causes painful burning sensations or tingling, particularly in the soles and toes, due to nerve damage, or peripheral neuropathy. These symptoms can be triggered or worsened by physical exertion, stress, or changes in temperature. Additionally, people with Fabry disease may experience decreased sweating, which can lead to dry, cracked skin on the feet, making them more prone to infections. Because Fabry disease affects multiple systems in the body, it requires careful management by specialists. If you suffer from Fabry disease or have these types of foot symptoms, it is strongly suggested that you consult a podiatrist for early intervention and control of foot problems to prevent long-term damage.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact one of our podiatrists from Foot Health Center of Merrimack Valley. Our doctors will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

If you have any questions please feel free to contact one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.