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I stepped on something and it stuck in my foot. No big deal, I pulled it out and cleaned the area. Now my foot is red, hot and swollen....what should I do? This scenario happens every day and the swollen, infected part could have been easily avoided with a quick trip to the podiatrist. Puncture wounds are extremely common in the foot, especially in times of warm weather, due to people walking barefoot. Even though they are extremely common, most people do not treat them adequately. Getting proper treatment within 24 hours is important in decreasing the infections that lead to serious complications.
Proper treatment should start with prevention! Do not go barefoot, especially outside and in the garage where loose objects and foot terrors seem to lurk! Keep knives, scissors, and breakables out of the reach of children. Remove nails from boards and dispose of them properly. Always sweep up glass immediately after breaking an object. Keep areas free from trash and debris. Keep up to date on your tetanus vaccination (every 10 years is recommended).
Foreign objects embedded in a puncture wound are extremely common. All kinds of things like toothpicks, glass, small pebbles, needles, nails and even wiry pet hair can become stuck in a puncture wound. Even pieces of your own skin, sock and shoe as well as dirt and foliage can be contaminating a puncture wound. Remember that all puncture wounds are considered dirty wounds because they involve penetration of the skin with a dirty object. Don't assume that a minor wound is clean just because you can't see dirt in it. Don't even try to clean or take large objects out of a serious wound. Go to the ER immediately if you have a large wound, an embedded deep object or the bleeding doesn't stop after 5 minutes! Regardless of the foreign body, anything that remains in a wound can become an abscess and lead to a severe infection.
Treatment of puncture wounds should begin within 24 hours of the wound and start with cleansing of the wound and close monitoring until it is healed. Surgical cleaning with removal of any foreign bodies is often necessary coupled with a week or two of antibiotics, depending on the wound contamination. A recent study recommended that all puncture wounds in the foot should be treated with at least 1 week of oral antibiotics. X-rays may even be needed to evaluate the bone for any involvement. A bonus is that metallic foreign bodies can also be detected by x-ray.
Often foreign bodies can be missed in the emergency room, so proper follow up with your podiatrist is important. Infection is a common complication, so your doctor will monitor your wound closely until it heals. Any changes, swelling, redness or discharge should be reported immediately. In diabetics or patients with poor circulation, a puncture wound can lead to an infection so serious that it leads to an amputation.
Do not delay treatment! Hindsight is always 20/20, but you don't want to be the one wishing they had come into the office when they are in the hospital with a severe infection. Do not play around with puncture wounds, seek medical attention immediately!
Foot and ankle athletic injuries are very common. We specialize in sports medicine getting you back to sports as soon as possible. The most common foot and ankle sports injuries are plantar fasciitis, ankle sprains, shin splints, Achilles tendonitis, peroneal tendonitis, stress fractures, posterior tibial tendonitis, anterior tibial tendonitis, neuromas, tarsal tunnel syndrome, ankle instability, and metatarsalgia. Gait problems can also cause ileotibial band syndrome, patella tendonitis, back pain, hip pain and piriformis syndrome. Medications, injections, splinting, orthotics and/or physical therapy are often quite helpful in treating most injuries. Our doctors will discuss your injury and prescribe a course of treatment that will return you to sport stronger than when you came into the office.
Fall down, go boom? Foot and ankle trauma is extremely common no matter how young or old you are. Fractures, torn ligaments and tendons, sprain and strains, puncture wounds and toenail trauma occurs every day. Our physicians can help put you back together so that you can recover from your accident as fast as possible. Don't wait too long to seek medical advice after your accident or injury. Delaying treatment often only worsens the problem!
Foot pain related to congenital and acquired foot and ankle deformities is extremely prevalent in our society. Pain can be from flat feet or a high arched foot and associated gait problems; or be from a progressive deformity like a bunion or a hammertoe. Our doctors are extensively trained to diagnose and treat the underlying deformity to help you function at your best. We want to prevent your problems from getting worse, no matter what you inherited from your family! God may have had a sense of humor when he created your feet, but we will work with you to optimize your biomechanical function and aesthetics! No one should suffer from ugly, painful feet!
Neurological foot and ankle issues can be a burning or shooting pain, numbness, weakness or just a "pins and needles" sensation. Nerve can be affected by compression at the spine level, knee level, ankle level or in your foot. Neuropathy can be a subtle nerve degeneration from aging, diabetes, and a myriad of other causes. Do not assume your nerve issues will go away or that nothing can be done. A proper diagnosis can lead to alleviation of your nerve troubles.
Healthy Steps Shoe Store Grapevine welcomes patients and their families as well as the surrounding communities of Grapevine, Southlake, and Colleyville. Our Newest location in our Keller office serves Fort Worth, Trophy Club, Roanoke, Watauga, and beyond to help them with their therapeutic shoe gear needs. A certified shoe fitter is always available by appointment for consultation. An extensive array of prefabricated and custom orthotics as well as many foot care essentials are also readily available to compliment your shoe and sandal purchases. We carry a wide variety of comfort shoe gear that are as pretty as they are comfortable.