Items filtered by date: April 2025

Pressure ulcers, also called bedsores, can develop on the feet, heels, or toes when constant pressure or shear forces restrict blood flow to the skin and underlying tissues. This often happens when people are confined to bed, use wheelchairs for long periods, or cannot move certain parts of their body. Shear forces, which occur when the skin moves in one direction while the bone moves in another can stretch or tear small blood vessels. Friction and moisture further weaken the skin, making ulcers more likely to develop. Older adults, people with foot deformities, poor circulation, or diabetes and kidney disease are more prone to developing these ulcers. A podiatrist can evaluate the depth and severity of the pressure ulcer and help manage it through proper wound care, debridement to remove dead tissue, and dressing selection. If you are suffering from painful pressure ulcers, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

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 Katie Besselman, DPM from Advanced Podiatry. Our doctor 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 our office located in Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Bunion surgery is a procedure performed to correct the misalignment of the big toe joint and relieve discomfort caused by a bunion. It is usually considered when non-surgical treatments no longer provide relief and the pain begins to interfere with daily activities. There are various surgical techniques available, and the choice depends on the severity of the bunion and the overall foot structure. Recovery may take several weeks, during which limited weight-bearing and proper foot care are essential. Many patients experience significant improvement in pain and function following the procedure. The goal is long-term relief and it is important to follow postoperative instructions to prevent recurrence. If you have a painful bunion, it is suggested that you consult a podiatrist who can determine if surgery is appropriate, and what to expect during the healing process for optimal results.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Katie Besselman, DPM of Advanced Podiatry. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions please feel free to contact our office located in Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Spending long hours standing in the classroom can take a toll on a teacher’s feet, legs, and lower back. Over time, the strain from hard floors and constant movement may lead to fatigue, soreness, or even more serious issues like plantar fasciitis or joint pain. Choosing supportive shoes with proper cushioning and arch support is a good place to start, but there are other helpful habits. Alternating between sitting and standing when possible, using a cushioned mat at a standing desk or podium, and stretching throughout the day can all ease pressure and improve circulation. Paying attention to posture and weight distribution also helps reduce tension. Even minor adjustments in daily routine can lead to noticeable relief and long-term comfort. If pain persists or becomes more intense, it is suggested that you see a podiatrist for additional tips on how to relieve foot pain.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Katie Besselman, DPM from Advanced Podiatry. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please feel free to contact our office located in Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

An acute ankle sprain occurs when the ligaments supporting the ankle are suddenly stretched or torn due to excessive force. This injury often happens during activities that involve sudden changes in direction, jumping, or an awkward landing. Rolling or twisting the ankle beyond its normal range of motion is a common cause, leading to pain, swelling, and instability. Walking on uneven surfaces or wearing improper footwear can increase the risk of sprains. Sports such as basketball, soccer, and running frequently contribute to these injuries. Weak muscles and previous ankle injuries may also make the joint more vulnerable. If you have sprained your ankle, it is suggested that you promptly contact a podiatrist who can accurately treat this painful condition.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Katie Besselman, DPM from Advanced Podiatry. Our doctor 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 our office located in Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ankle pain while walking can result from several conditions that affect the joint, tendons, or ligaments. Ankle sprains occur when ligaments stretch or tear due to an awkward twist or misstep. Gout can cause inflammation in the ankle joint due to crystal deposits in the joint that lead to pain and swelling. Osteoarthritis, which develops when the protective cartilage wears down, causes stiffness and discomfort. Rheumatoid arthritis triggers chronic inflammation that can affect ankle joint function. Impingement syndrome results from nerve or tendon compression and is often seen in people who engage in repetitive movements. Additionally, tendinitis, which occurs due to overuse, leads to irritation and inflammation of the ankle tendons, making walking difficult. A podiatrist can determine the cause of your ankle pain and determine whether supportive devices, medication, or surgery is needed. If you experience foot pain during or after walking, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and appropriate treatment.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Katie Besselman, DPM from Advanced Podiatry. Our doctor 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 our office located in Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.