Venous ulcers are slow-healing wounds caused by poor circulation in the veins, typically in the lower legs and ankles. They develop when blood pools due to faulty valves, leading to increased pressure and skin breakdown. These ulcers often appear as shallow, irregular sores with discoloration, swelling, and discomfort. Individuals at higher risk include those with varicose veins, deep vein thrombosis, DVT, obesity, or a history of leg injuries. People who stand or sit for prolonged periods may also develop these chronic wounds. Venous ulcers directly affect the feet and ankles by causing swelling, skin changes, and persistent wounds prone to infection. Without proper care, complications may arise. Compression therapy, wound management, and lifestyle changes help improve healing. If you have venous ulcers, it is strongly suggested that you include a podiatrist on your healthcare team for effective treatment and prevention.

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 David Cain, DPM from Iowa. 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 Ames, Iowa . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ankle pain during pickleball is a common complaint due to the intense movements involved in the sport. One of the leading causes is overuse, as frequent lateral movements, quick starts, and sudden stops place stress on the ankle joint. Another cause is improper footwear, which may not provide the necessary support or cushioning for the specific demands of pickleball. Ankle sprains, where the ligaments are stretched or torn, can also occur from twisting or rolling the ankle while trying to return a fast ball or change direction quickly. Poor technique or lack of warm-up exercises can contribute to muscle strains and joint stiffness, further increasing the risk of injury. Players with previous ankle injuries may experience recurring pain as well. If you enjoy playing pickleball and have endured an ankle injury, it is suggested that you consult a podiatrist who can offer effective treatment so you can return to this popular sport.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with David Cain, DPM from Iowa. 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 Ames, Iowa . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A bunionette, or tailor’s bunion, is a bony prominence on the outer side of the foot at the base of the fifth toe. It develops due to pressure, improper footwear, genetics, or structural foot abnormalities. This condition often affects individuals who wear narrow or tight shoes, such as high heels, or those with naturally wide feet. Conservative treatments, including wider footwear, padding, orthotics, and anti-inflammatory medications, can help reduce discomfort. However, if pain persists despite these measures, minimally invasive bunionette surgery may be an option. This procedure involves tiny incisions and specialized instruments to realign the bone, removing pressure on the affected joint with minimal tissue disruption. Recovery is typically faster than traditional surgery, with reduced swelling and pain. If a bunionette is interfering with your daily activities, it is suggested that you consult a podiatrist to determine if minimally invasive surgery is the right solution for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact David Cain, DPM of Iowa. 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 Ames, Iowa . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The proper running foot strike is essential for preventing injuries and improving performance. While running, the anatomy of the foot plays a key role in how the body absorbs impact. There are several types of foot strikes, each affecting the body differently. A heel strike occurs when the heel hits the ground first, often seen in runners with a longer stride or those who overstride. A midfoot strike is when the middle of the foot lands first, offering a more natural and efficient impact absorption. The forefoot strike involves landing on the balls of the feet, which is common in sprinters and fast runners. A flat foot strike is when the entire sole of the foot touches the ground at once, which can place excess strain on the lower limbs. Lastly, a toe strike is when only the toes touch the ground first, providing more propulsion but sometimes leading to calf strain. If you enjoy running and have endured a foot or ankle injury, it is suggested that you consult a podiatrist who can treat various foot injuries, and guide you on correct running techniques.

If you have any concerns about your feet, contact David Cain, DPM from Iowa. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

A dancer's fracture is a break in the shaft of the 5th metatarsal, the long bone on the outer side of the foot. This injury is typically caused by twisting motions, awkward landings, or direct trauma. It is common among dancers and athletes but can happen to anyone. Symptoms of a 5th metatarsal fracture include sharp pain on the outer side of the foot, swelling, bruising, tenderness, and difficulty walking. Diagnosis is made through a physical examination and imaging, such as X-rays, to determine the exact location and severity of the fracture. Treatment often involves immobilizing the foot with a cast or walking boot to allow the bone to heal properly. In severe cases, surgery may be required to realign and stabilize the bone. A podiatrist can provide expert care and ongoing monitoring to ensure the foot heals correctly and regains full functionality. If you have fractured your foot, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact David Cain, DPM from Iowa. Our doctor can provide the care you need to keep you pain-free and on your feet.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

• Bruising
• Pain
• Redness
• Swelling
• Blue in color
• Numbness
• Cold
• Misshapen
• Cuts
• Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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