Hidden Bone Stress Injuries in Diabetic Feet

People with diabetes who have nerve damage in the feet may develop bone injuries without realizing it. Reduced sensation can prevent pain signals from warning that a bone is under too much stress. Small cracks in the bones of the foot may form gradually from everyday walking or minor changes in activity. Swelling, warmth, or redness may be the only visible signs, and these are sometimes mistaken for skin or circulation problems. Normal daily activity often continues because pain is absent, allowing the injury to progress unnoticed. Over time, untreated bone stress injuries can lead to collapse of the foot structure or long-term mobility problems. Regular foot checks and early evaluation of swelling or shape changes are essential for prevention. Awareness is especially important for those with long-standing diabetes. If unexplained swelling, warmth, or foot changes appear, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Michael Bess, DPM from Florida. Our podiatrist can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

  • Gender – They are more commonly found in women compared to men.
  • Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
  • Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
  • Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
  • Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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

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What a Podiatrist Is and How They Help Keep You Moving

A podiatrist is a medical doctor who specializes in the care of the feet, ankles, and lower legs. This includes diagnosing and treating injuries, chronic conditions, and structural problems that affect how people walk and move. Podiatrists care for issues such as heel pain, bunions, ingrown toenails, fungal infections, arthritis, and sports-related injuries. They also play an important role in managing diabetic foot problems, nerve conditions, and wounds that require close monitoring. Beyond treating pain, podiatrists focus on prevention and long-term foot health. They may recommend footwear changes, custom orthotics, stretching programs, or lifestyle adjustments to reduce stress on the feet and joints. Many podiatrists also perform in-office procedures and surgery, when needed, to restore function and comfort. If you have ongoing foot or ankle concerns, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to contact Michael Bess, DPM from Florida. Our podiatrist can provide the care you need to keep you pain-free and on your feet.

What Is a Podiatrist?

Someone would seek the care of a podiatrist if they have suffered a foot injury or have common foot ailments such as heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, etc.

Podiatric Treatment

A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:

  • Physical therapy
  • Drugs
  • Orthotic inserts or soles
  • Surgery on lower extremity fractures

A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.

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

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Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Why Aging Feet Need a Different Kind of Attention

Feet change quietly with age, often long before pain appears. Skin becomes thinner and drier, making cracks and wounds more likely. Fat pads that once cushioned the foot slowly shrink, increasing pressure on bones and joints. Nails may thicken or curve, turning simple trimming into a challenge. Circulation can slow, which affects healing and temperature regulation. Balance changes may also alter how weight moves through the foot, leading to calluses, soreness, or instability. These shifts are easy to overlook because they develop gradually and feel like a normal part of aging. However, untreated foot problems can reduce mobility and independence, over time. Regular evaluation helps catch concerns early and supports safer walking. If walking becomes uncomfortable or skin changes appear, it is suggested you see a podiatrist for these foot-related concerns.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Michael Bess, DPM from Florida. Our podiatrist can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

  • Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
  • Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
  • Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
  • Gouging toenails affecting nearby toe
  • Shoes that don’t fit properly
  • Pressure sores
  • Loss of circulation in legs & feet
  • Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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

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Knowing When to Replace Walking Shoes

Knowing when to replace walking shoes is important for protecting foot health and maintaining proper support with every step. Over time, the cushioning and stability in walking shoes gradually break down, even if the shoes still appear intact. Most walking shoes are designed to last between 350 and 500 miles, which often equals three to six months for people who walk regularly. Worn shoes can alter gait mechanics and place added stress on the feet, ankles, knees, and lower legs. Body weight, walking frequency, and surface type can all influence how quickly shoes wear out. Common signs of excessive wear include uneven sole breakdown, reduced shock absorption, visible creasing in the midsole, or changes in walking comfort. A podiatrist can evaluate walking patterns, inspect shoe wear, and recommend appropriate footwear based on foot structure and activity level. For help with foot pain caused by walking, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, contact Michael Bess, DPM from Florida. Our podiatrist can provide the care you need to keep you pain-free and on your feet.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

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

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