Peripheral artery disease, or PAD, occurs when arteries become narrowed or blocked, reducing blood flow to the legs and feet. A common cause is atherosclerosis, which develops when plaque builds up inside the arteries and impedes blood flow. Adequate circulation supplies the feet with oxygen and nutrients needed for healthy tissue and normal healing. When circulation is reduced, minor cuts, blisters, or sores may take longer to heal and can become more difficult to manage. PAD may progress slowly, and some people have few noticeable symptoms at first. Recognizing possible warning signs can encourage timely evaluation and care.

Common symptoms of PAD include aching, cramping, or pain in the legs or feet while walking that improves with rest. Other signs may include numbness, weakness, and skin discoloration. More advanced PAD can cause persistent foot pain, including discomfort that becomes worse at night. Reduced circulation may also interfere with wound healing. Persistent sores, cuts, or blisters can increase the risk of infection and should receive prompt attention.

Smoking is a major risk factor for PAD because tobacco can damage blood vessels and interfere with circulation. Diabetes, high blood pressure, and a family history of vascular disease can also increase risk. PAD may significantly affect foot health by contributing to cold feet, skin changes, and a greater risk of infection. People with diabetes may face additional concerns when circulation problems occur with reduced sensation.

A podiatrist can examine the feet for signs of poor circulation and recommend additional testing when necessary. Evaluation may include checking skin temperature, color, and existing wounds. Treatment focuses on addressing risk factors, managing underlying conditions, and protecting the feet from injury. If you have symptoms of PAD, it is suggested that you consult a podiatrist for an accurate evaluation and appropriate treatment recommendations.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, 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.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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.

Foot drop makes it difficult to lift the front part of the foot while walking. Instead of being a disease itself, it is a sign of an underlying problem affecting the muscles or nerves that control foot movement. People with foot drop may drag their toes, lift their knee higher than usual, or have trouble clearing the foot with each step. Some individuals also experience numbness, weakness, or tingling in the foot or lower leg. These symptoms can increase the risk of trips and falls, making everyday activities more challenging. Because foot drop can have several causes, a professional evaluation is important to identify the underlying condition and determine the most appropriate treatment.

Foot drop may develop after a nerve injury or as the result of certain muscle or neurological conditions. In some cases, pressure on a nerve can interfere with normal communication between the brain and the muscles that lift the foot. As walking mechanics change, extra stress may be placed on the ankle, knee, and hip. This altered movement can also affect balance and reduce overall mobility. A thorough podiatry evaluation helps assess foot function, muscle strength, and walking patterns. Additional testing may be recommended to identify the source of the problem and guide treatment planning.

A podiatrist plays an important role in evaluating foot drop and helping patients improve foot function and mobility. Professional care focuses on identifying the cause of the condition, improving walking mechanics, and reducing the risk of complications related to abnormal movement. Treatment is tailored to each patient's needs and may involve coordination with other healthcare providers when appropriate. Early podiatry care can help improve stability and support safer movement during daily activities. If you are experiencing foot weakness, difficulty lifting your foot, or changes in the way you walk, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

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.

Hallux valgus, commonly known as a bunion, is a progressive foot deformity defined by a misalignment of the big toe joint. This condition occurs when the big toe shifts inward toward the smaller toes, causing a bony prominence to form along the side of the foot. The deformity affects the structure and function of the forefoot, leading to joint instability and ongoing irritation. Over time, the condition can worsen, especially when underlying causes are not addressed. Symptoms of hallux valgus often begin with a visible bump at the base of the big toe. The area may appear swollen, red, and inflamed. Many individuals experience pain that increases with walking or wearing tight fitting shoes. Joint stiffness and reduced range of motion are also common. As the deformity progresses, the big toe may overlap or press against adjacent toes, creating further discomfort and difficulty with footwear.

Several causes and risk factors contribute to the development of bunions. Biomechanical issues such as flat feet, abnormal gait patterns, and joint instability play a significant role. Genetics is another major factor, as inherited foot structure can increase the likelihood of developing hallux valgus. Footwear also contributes, particularly shoes that are narrow or have a high heel, which place excessive pressure on the forefoot and encourage misalignment. Early recognition of bunions is important for preventing progression and managing symptoms. Treatment options may include wearing supportive footwear, custom orthotics, and activity modifications that reduce stress on the joint. Addressing biomechanical issues can improve overall foot function and relieve discomfort. If you have a bunion, it is suggested that you consult a podiatrist for effective relief and management solutions.

If you are suffering from bunion pain, contact Richard DiBacco, DPM of Podiatry Associates of Erie, Inc.. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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.

Healthy feet play a major role in staying active and independent as people age. Natural changes in the feet can reduce cushioning, weaken muscles, and limit joint movement, making standing and walking less comfortable. Skin also becomes thinner and drier, while toenails can grow thicker and harder to trim. These changes raise the chance of pain, balance problems, and falls. Ignoring foot discomfort can also make everyday tasks more difficult. Regular visits with a podiatrist help detect concerns early and keep small problems from becoming larger ones longer. Supporting foot function improves confidence with every step.

Common foot conditions in older adults include bunions, hammertoes, and thick toenails. Arthritis can stiffen joints and change the way the foot moves, increasing pressure on certain areas. Poor circulation means reduced blood flow, which slows healing. Nerve damage, called neuropathy, reduces feeling in the feet and makes injuries easier to miss. A podiatrist carefully examines the feet, checks circulation and sensation, and treats painful nail and skin problems while recommending shoes with proper support. A podiatrist can then develop a treatment plan catered to your needs. Early evaluation also helps improve comfort, mobility, and everyday safety.

Prompt care can protect mobility and support a more active lifestyle. Foot pain should never be accepted as a normal part of getting older because effective treatment is available. A podiatrist can relieve painful pressure points, treat skin concerns, and recommend custom orthotics when they provide better support and comfort. Addressing problems early also lowers the risk of falls and helps people remain confident while walking, preserving independence and stability. If you have symptoms of elderly foot problems, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

If you need your feet checked, contact Richard DiBacco, DPM of Podiatry Associates of Erie, Inc.. Our doctor will attend to all of your foot and ankle needs and provide you with quality treatment.

Geriatrics and Podiatry
When people age, some common issues that may occur are bone density loss, dry skin, poor circulation, and rough brittle nails. These issues may also affect your foot health if the necessary steps are not taken to alleviate the problems.

It is important to take care of your feet because feet that are injured or diseased can affect your overall health. Having painful feet hinders your ability to do daily activities or may decrease your willingness to do the things that you need to do.

Visiting Your Geriatrician
As we age, health problems become more likely, so it is essential to visit your doctor for check-ups to ensure that you are doing the best you can to take care of your health. It is recommended to check your feet frequently for any possible cuts, bruises, swelling, corns or any other irregularities. 

Taking Care of Elderly Feet
Cracked or dry feet can be treated by applying moisturizer often. It is also important not to wear old socks because the older the sock is, the higher the possibility there will be that there is bacteria there. Wear fresh socks and make sure they fit properly.

Proper foot health means that you can have a more active lifestyle and you will not be bogged down by pain. Foot health also leads to good circulation, which is paramount for overall health.

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.