Monday, March 19, 2012

Peripheral Arterial Disease, not a life sentence

Peripheral Vascular DiseaseImage via WikipediaAre you one of the many who has noticed pain when you walk, but the pain disappears after a few moments of rest? Ever experience coldness in your leg or foot? You may be showing early signs of Peripheral Artery Disease (PAD) and need to schedule an appointment with Dr. Teichman.

Other symptoms may include:

•    Leg numbness or weakness
•    Sores on foot or leg that will not heal
•    Shiny skin on your legs
•    Loss of hair on legs
•    Change of skin color on legs

Peripheral Arterial Disease is a major complication that can develop from Diabetes. If you are diagnosed with PAD, treatment has two goals. First is to reduce or manage pain so that you may resume your normal activities, and the second is to prevent the buildup of artery blockage, which could cause you a stroke or heart attack.  Dr. Teichman can do a thorough evaluation to determine your risk and educate you on what needs to be done to help you manage your situation. If need be, he can help with the healing of ulcerated skin, advise you in proper footwear, perform treatment on corns and calluses, prescribe medications and also make other recommendations. You may be able to manage PAD by making some lifestyle changes that would include stop smoking as well as changes in diet and exercise, but there are some cases where surgery may have to be performed. This might include a procedure to unblock the arteries.

If you have peripheral arterial disease and it is allowed to go untreated, you could possibly experience pain that is so severe it may affect your very lifestyle. If you continue to ignore the warning signs, you could be placing your life at risk. As with any medical concern, it is best to seek treatment early.  Do not allow the symptoms to become increasingly worse. This is not a disease that will disappear in time if left untreated, and you risk amputation or possibly your life. 

If you experience pain, coldness, numbness or sores or infections that take a long time to heal or do not heal at all, call Dr. Teichman at (610) 432-9593.  He can evaluate you and get you started on an individual treatment plan. Peripheral Arterial does not have to be a life sentence. There are treatments available. 

References:

http://eastpennfoot.com/video-library

www.mayoclinic.com/health/peripheral-arterial-disease/DS00537/

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Monday, March 12, 2012

Diabetes and Dry Cracked Skin

Collared lizard (dotted skin) Crotaphytus coll...Image via WikipediaDo you find it annoyingly painful to walk due to dry cracked skin on the heels of your feet? Have you tried lotions and potions, yet still have a difficult time treating this condition? We are here today to offer some practical suggestions to try to help you make things a bit more tolerable.

Dry cracked skin is usually most problematic during the winter months. Thickening and drying of the skin occurs, and deep cracks can appear, which makes it painful to even walk. For some, dry cracked heels are a mere cosmetic annoyance, but for a person with diabetes, it can pose a greater problem and health risks. What causes dry cracked skin?

    •    Age

    •    Existing skin conditions like psoriasis

    •    Diabetes

    •    Thyroid problems

    •    Vitamin deficiencies

    •    Excess weight

As we age, the skin loses its normal elasticity. Skin conditions caused by medical disorders can contribute to dryness and weight bearing can become problematic, especially if we stand for long periods of time and the skin is under excessive stress.  Any combination of these conditions can increase the likelihood of dry cracked skin.

Symptoms of dry cracked skin include discoloration (yellowish) and thickening of the skin. If it goes untreated, the skin can crack and bleed. Deepening cracks can harbor infections. People with diabetes should check their feet regularly, because they may have decreasing sensation in their feet due to nerve damage.

    •    Bathe feet daily, test for proper temperature and dry thoroughly.

    •    Apply vitamin enriched moisturizers to the feet, but not between toes.

    •    Use a pumice stone to remove dry and calloused skin.

    •    Wear shoes and socks to protect feet. Check them for small objects that could cause injury.

    •    Check your feet daily for sores. People with diabetes are at greater risk for infection.

For the person living with diabetes, proper foot care is essential. Have regular medical checkups, and do not be bashful about exposing your toes. Still, tell your doctor immediately if you have a concern about your feet. Some doctors may prescribe orthotics to help relieve pressure on problem areas. Follow their instructions closely. If you implement a sound plan of prevention, you should make it through the winter with fewer problems, but if you have a problem, call East Penn Foot & Ankle Associates for an appointment.

So what’s worked well for your feet and dry skin? We’d like to know so comment below!

References: 

www.footsmart.com/healthcondition.aspx?ailmentid=83
http://diabetes.niddk.nih.gov/dm/pubs/complications_feet/#hurtfeet

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