Total contact casting is a specialized treatment used to manage diabetic foot ulcers by distributing pressure evenly across the foot and reducing stress on the wound area. It works by enclosing the foot and lower leg in a carefully molded cast that limits movement and promotes healing through constant contact and offloading pressure. This method is highly effective in encouraging ulcer closure while protecting the affected tissue. Risk factors for poor healing include uncontrolled blood sugar, poor circulation, and prolonged pressure on the foot. A podiatrist plays a key role by applying the cast, monitoring healing progress, and adjusting treatment, as needed. If you have diabetes and have developed a foot ulcer, it is suggested that you are under the care of a podiatrist who can discuss the benefits of this treatment method with you.

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 Richard DiBacco, DPM from Podiatry Associates of Erie, Inc.. 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 contact one of our offices located in Erie and Meadville, PA, . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The Brostrom-Gould technique is a surgical procedure used to repair and stabilize the lateral or outer ankle ligaments after chronic instability or repeated sprains. It is commonly recommended when ligaments have become stretched or torn due to injuries such as ankle sprains, sports trauma, or improper healing. Risk factors include high-impact activities, weak ankle support, and a history of recurrent injuries. During the procedure, the damaged ligaments are tightened and reinforced to restore proper alignment and function of the ankle joint. This helps improve stability, reduce pain, and prevent future injuries. A podiatrist can evaluate ankle instability, determine if this procedure is appropriate, and guide recovery. If you have chronic ankle instability, it is suggested that you consult a podiatrist who can determine if this procedure will help you, explain the benefits, and address any concerns you may have about this form of treatment.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Richard DiBacco, DPM of Podiatry Associates of Erie, Inc.. 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 one of our offices located in Erie and Meadville, PA, . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Freiberg disease is a congenital foot-related condition that affects the metatarsal bones in the forefoot, most commonly near the base of the second toe. This disorder occurs when the bone tissue gradually weakens due to reduced blood supply, which may lead to joint damage over time. As the condition progresses, it may contribute to arthritis within the affected joint. Symptoms include forefoot pain, swelling, stiffness, and discomfort while walking or placing pressure on the ball of the foot. Causes may involve abnormal bone development, repetitive stress, or structural foot imbalance. Risk factors include certain foot shapes and prolonged pressure on the forefoot. A podiatrist can evaluate the condition and guide treatment. If your child has been born with this condition, it is suggested that you include a podiatrist on your healthcare team for expert management techniques.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Richard DiBacco, DPM from Podiatry Associates of Erie, Inc.. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact one of our offices located in Erie and Meadville, PA, . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Proper shoe fitting is essential for maintaining foot health, especially when shoes are too narrow and place excess pressure on the toes and forefoot. Tight footwear can compress the toes, leading to irritation and redness. It also can contribute to formation of bunions or nerve pain like Morton's neuroma. The foot may develop overlapping toes or areas of thickened skin where friction occurs. Discomfort may worsen throughout the day and make walking or standing difficult. Causes include choosing fashion over fit, changes in foot shape, or not accounting for natural swelling. A podiatrist can assess foot size, shape, and gait to recommend properly fitting footwear and supportive options. Treatment may also include padding, orthotics, and guidance on selecting shoes with adequate width, depth, and cushioning. Choosing the correct shoe size and avoiding narrow styles can reduce pressure and prevent long-term problems. If you have foot pain related to shoe fit, it is suggested that you make an appointment with a podiatrist.

It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact Richard DiBacco, DPM from Podiatry Associates of Erie, Inc.. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.

Tips for Proper Shoe Fitting

• Select a shoe that is shaped like your foot
• Don’t buy shoes that fit too tight, expecting them to stretch to fit
• Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
• Walk in the shoes to make sure they fit and feel right
• Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot

The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.

If you have any questions please contact one of our offices located in Erie and Meadville, PA, . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.