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Blisters form between layers of injured skin as a way of cushioning the injury and protecting it from further damage. When friction or some other irritant damages the upper layer of skin (epidermis), it can tear away from underlying layers of skin. The space that is created between the layers then fills up with fluid (serum). Most blisters occur as a result of friction caused by ill-fitting shoes or socks. Other causes of blisters include burns, frostbite, irritants such as insect bites, chemicals and other toxins. Medical conditions like diabetic neuropathy and eczema, as well as certain autoimmune deficiencies, can weaken the outer layer of skin which increases the risk of blisters forming. Aside from removing pressure from the affected area, it is best to leave a blister alone to allow it to heal naturally, which usually happens within a few days. However, if the blister worsens by becoming discolored or excessively inflamed, it may indicate that an infection is present and a podiatrist should be consulted right away.

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, 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.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

Symptoms

(Blister symptoms may vary depending on what is causing them)

• Bubble of skin filled with fluid
• Redness
• Moderate to severe pain
• Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

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.

When the ligaments that hold the ankle in place and connect the bones together become overstretched or torn, an ankle sprain may occur. They are one of the most common injuries of the ankle, and they usually happen when stepping on uneven surfaces causes the ankle to twist too much. This results in the ankle swelling and becoming bruised. You may also have difficulty walking. Because the symptoms of an ankle sprain are similar to that of a broken ankle, patients who believe that they have sprained their ankle should have it examined by a podiatrist. A podiatrist will be able to take an X-ray to check for broken bones, and they can check for less common injuries such as an avulsion fracture, high ankle sprain, or a lower leg fracture.

Ankle sprains are common but need immediate attention. If you need your feet checked, 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 take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

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

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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.

Peripheral artery disease (PAD) is a circulatory disease that narrows arteries and restricts blood flow in the extremities. This can cause cramping in the legs when exercising, which usually subsides when you stop. PAD can also cause pain, numbness, swelling, and discoloration in the feet, and can be a prelude to more dangerous complications. One of the tests a podiatrist may use to test the blood flow through arteries and veins is a duplex ultrasound. There are two components to a duplex ultrasound. The first is traditional ultrasound which creates an image by bouncing sound waves off of blood vessels. The second is doppler ultrasound which measures sound waves reflected off of flowing blood to visualize its direction and speed. Duplex ultrasounds are non-invasive. The patient remains still as the podiatrist hovers a wand (transducer) over the area to be tested which sends out sound waves. These sound waves are then reflected back and translated into images. To learn more about PAD and various ways to test for it, please make an appointment with your local podiatrist.

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, 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 Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

• Ankle-Brachial Index (ABI) examination
• Doppler examination
• Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

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.

Many children wear flip-flops, especially during the warm summer months. However, those flip-flops can impact their feet long after the end of summer vacation. Heel and arch pain are common complaints among children who wear flip-flops. The heel bone continues to grow even into the midteen years and requires adequate cushioning and support. Flip-flops provide no support to the heel, causing the growth plates in the heel bones to become inflamed, tender, and painful. Frequent flip-flop wearing also makes various foot and ankle problems, such as Achilles tendonitis, ankle sprains, broken toes, plantar warts, and athlete’s foot more likely. If your child complains of foot pain, it is suggested that you schedule them an appointment with a podiatrist. 

Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact one of our podiatrists from Foot Health Center of Merrimack Valley. Our doctors 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 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.

Peripheral artery disease (PAD) causes a narrowing of arteries in the limbs that are not close to the center of the body, such as the legs and feet. These arteries, which carry blood from the heart, become blocked by a buildup of plaque and cannot deliver adequate blood supply to muscles and tissues. This can result in muscle cramping while exercising (claudication) that does not go away after you stop. You may also experience slow-healing foot wounds and slower growth of leg hair and toenails. The skin on your legs may also have a shiny appearance. PAD is potentially dangerous because it increases the risk of a heart attack or stroke. Also, tissue which does not receive enough blood can become infected or die (gangrene) which, left untreated, may lead to a life-threatening blood infection called sepsis. It is important to pay attention and see a podiatrist if your body gives you any warning signs of PAD.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, 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.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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.

If you are suffering from ankle pain, one of the most important questions to answer is: where does your ankle hurt? The location of the ankle pain provides key information to help diagnose the problem. Pain along the inside of the ankle may indicate an eversion ankle sprain, fracture, tibial posterior tendonitis, or tarsal tunnel syndrome. Pain along the outside of the ankle could mean that you have a sprain, sinus tarsi syndrome, peroneal tendonitis, or a peroneal tendon dislocation. Pain at the front of the ankle is often a symptom of tibialis anterior tendonitis or ankle impingement. Pain at the back of the ankle might indicate an Achilles tendon injury, bursitis, or Sever’s disease. A podiatrist can examine your injured ankle, determine the cause of your pain, and find the right treatment for you. 

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, 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.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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 onychomycosis (toenail fungus) is a common condition, it can be rare among infants and children. This is because children’s nails are smaller and grow faster—making their toenails less hospitable to the fungus. However, when pediatric onychomycosis occurs, it should be dealt with swiftly and properly, as it is not good for a child to have any type of infection. Of course, prevention is always the best option, and something that should be highlighted as most children contract onychomycosis from someone in their own home. Don’t share toenail clippers, soap, towels or other personal grooming items with your child. Encourage them to keep their feet clean and dry, and to always wear clean socks and shoes, as well as flip-flops in public showers, locker rooms and around pools. If your child does develop toenail fungus, understand that what may be appropriate treatment for an adult, may not be safe for a child. If your child’s nails are thickened, brittle, crumbling, or yellowish, bring them to a podiatrist to receive an accurate diagnosis and proper treatment.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, 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.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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.

Diabetic patients are often aware of the link between foot problems and how their diabetes is managed. Complications can include a numbing sensation or tingling in the feet which may be the beginning of diabetic neuropathy. It may cause the inability to feel existing cuts, wounds, or bruises. If these ailments are left untreated, a diabetic ulcer may form, which may lead to amputation. Additionally, foot muscles may be affected in severely diabetic patients, which may change the alignment of the foot. Proper foot care management can begin with monitoring the glucose levels in the blood. A daily practice of good foot hygiene can consist of washing and drying the feet thoroughly, and special footwear may need to be worn. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can help you to properly manage this condition, in addition to providing you with proper foot care advice.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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.