Exploring Negative Pressure Wound Care

Negative pressure wound therapy applies controlled suction to non‑healing wounds on the foot, toes, or ankle to reduce excess fluid, improve blood flow, and stimulate healthy tissue formation. A podiatrist evaluates the wound’s depth, tissue condition, and surrounding skin before implementing therapy. The procedure involves using a porous dressing connected to a device that gently draws out excess fluids and encourages the wound edges to contract. This type of wound care also supports new tissue growth and promotes circulation. By removing excess fluid and proteins, the therapy helps restore proper pressure balance in the wound bed. It is most suitable for ulcers, non‑healing surgical sites, or complicated ankle wounds that have stalled in healing. Negative pressure therapy supports wound closure while it also minimizes infection risk and avoids unnecessary surgery. If you have foot wounds that will not heal, it is suggested that you schedule an appointment with a podiatrist for 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 Jeffrey Radack, DPM from Texas Regional Foot & Ankle Clinics. 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 our office located in McKinney and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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What to Know Before and After Minimally Invasive Foot and Ankle Surgery

Minimally invasive foot and ankle surgery offers smaller incisions, less tissue disruption, and often faster recovery, but it still requires careful planning. Before surgery, imaging, physical evaluation, and a clear understanding of goals help ensure the approach fits the patient’s condition. Certain medication may need to be adjusted, and underlying health issues such as diabetes or circulation problems must be considered to lower risks. On the day of the procedure, patients typically experience shorter operating times and less postoperative discomfort compared to traditional surgery. After surgery, early movement, wound care, and following instructions closely all support proper healing. Recovery is usually quicker, but outcomes still depend on proper support and follow-up. If you are considering surgery for a foot or ankle problem, it is suggested that you schedule an appointment with a podiatrist to discuss right option for right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Jeffrey Radack, DPM of Texas Regional Foot & Ankle Clinics. 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 McKinney and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot Surgery

Let the Expert Treat Your Ingrown Toenails

Ingrown toenails can be painful and can make wearing shoes or walking uncomfortable. Seek professional help if you believe you've developed an ingrown toenail and be treated safely. 

Limb Salvage in Diabetic Foot Care and Making the Decision

Deciding on limb salvage in diabetic foot cases involves evaluating several serious factors. A life threatening infection that does not respond to treatment may require urgent attention. Severe deformities that cannot be corrected and prevent proper function or healing also influence the decision. Additionally, if blood flow to the foot cannot be restored, tissue may not survive, making salvage unlikely. A podiatrist plays a vital role by assessing the severity of infection, circulation, and structural changes. They collaborate with other specialists to explore all possible treatments before considering limb loss. If you or a loved one is facing complex diabetic foot issues, it is suggested that you are under the care of a podiatrist to discuss options and develop the best possible care plan.

Diabetic Limb Salvage

Diabetic limb salvage can be an effective way in preventing the need for limb amputation. If you have a foot ulcer and diabetes, consult with Jeffrey Radack, DPM from Texas Regional Foot & Ankle Clinics. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Diabetic Limb Salvage?

Diabetic limb salvage is the attempt of saving a limb, such as the foot, that has an infected ulcer, from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

Diabetes is the number one cause of non-traumatic amputations in the United States. Amputation has been found to lead to higher mortality rates. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated. 

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

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Pros and Cons of Ankle Replacement Surgery

Ankle replacement surgery involves removing damaged cartilage and bone from the ankle joint and replacing them with a metal and plastic implant to relieve pain and improve movement. This procedure is often recommended for people with severe arthritis, deformity, or joint damage that limits walking. A major benefit of ankle replacement surgery is the ability to maintain ankle flexibility, unlike ankle fusion which stiffens the joint. It can also improve balance and reduce stress on nearby foot joints. However, this type of surgery is not suitable for everyone. People with diabetes-related nerve damage, poor blood flow, or severe ankle instability may face a higher risk of complications. Possible risks include infection, nerve injury, implant loosening, and eventual need for revision surgery. Long-term success depends on proper healing and ongoing monitoring. A podiatrist can assess whether ankle replacement is appropriate based on foot structure, health history, and mobility goals. If you have ankle pain that may involve joint replacement, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment options.

In certain cases, in which the patient suffers from extreme pain or damage in a joint, joint replacement surgery may be deemed useful. If you have constant pain in a foot joint, consult with Jeffrey Radack, DPM from Texas Regional Foot & Ankle Clinics. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Joint Replacement Surgery?

Over time, joints wear down; this can be exacerbated by diseases and conditions. Joint replacement surgery, also known as arthroplasty, is when a damaged joint is surgically removed and replaced with a prosthesis. Prostheses, which can be made of ceramic, plastic, or metal, act as joints in lieu of an actual joint. One of the most prevalent causes for joint replacement is arthritis.

Arthritis in the Foot

Arthritis can occur in any joint in the body, including in the feet. Common types of arthritis in the foot are osteoarthritis, rheumatoid arthritis, and gout. The big toe is usually where arthritis occurs in the foot; this is known as hallux rigidus.

Joint Replacement Surgery in the Foot

The most common form of joint replacement in the foot is a first metatarsophalangeal (MTP) joint placement. MTP joint replacement surgery is designed to treat hallux rigidus. Surgery is not intensive, and recovery occurs within one to two months after the procedure has been done. Overall, joint replacement surgery is a safe and effective way to treat pain in the joint of the foot.

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

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Ball of Foot Pain

Pain in the ball of the foot, also known as metatarsalgia, can result from underlying issues like arthritis and hammertoe. Arthritis causes inflammation in the joints of the foot, leading to stiffness, swelling, and aching pain, especially during movement. Hammertoe, a deformity where a toe bends abnormally at the middle joint, can shift pressure to the ball of the foot and worsen pain. Symptoms may include burning, tingling, or a sharp, aching sensation in the ball of the foot. You may notice swelling, redness, or difficulty walking in regular shoes. High-impact activity, improper footwear, or foot structure abnormalities often contribute to this condition. A podiatrist can evaluate your foot with a physical exam and imaging. Treatment options include orthotics, footwear changes, and anti-inflammatory medications. Other options are padding, targeted exercises, and, in severe cases, surgical correction of deformities. If you have pain in the ball of your foot, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Jeffrey Radack, DPM from Texas Regional Foot & Ankle Clinics. 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 our office located in McKinney and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Causes of Corns from Mechanical Hyperkeratosis

Corns are thickened areas of skin that develop due to repeated pressure or friction, often as a result of mechanical hyperkeratosis. This condition occurs when the skin responds to stress by producing excess keratin, leading to hardened layers. Footwear that does not provide adequate support or fit can increase pressure on certain parts of the foot, encouraging corn formation. Abnormal foot mechanics, such as overpronation or structural deformities, can also create uneven pressure points during movement. Individuals who engage in high levels of physical activity may experience repetitive stress on their feet, further contributing to the development of corns. Corns can be painful and may cause difficulty in completing daily activities. If you have developed a corn, it is suggested that you consult a podiatrist who can offer effective relief and prevention tips.

Corns can make walking very painful and should be treated immediately. If you have questions regarding your feet and ankles, contact Jeffrey Radack, DPM of Texas Regional Foot & Ankle Clinics. Our doctor will treat your foot and ankle needs.

Corns: What Are They? And How Do You Get Rid of Them?
Corns are thickened areas on the skin that can become painful. They are caused by excessive pressure and friction on the skin. Corns press into the deeper layers of the skin and are usually round in shape.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as:

  • Wearing properly fitting shoes that have been measured by a professional
  • Wearing shoes that are not sharply pointed or have high heels
  • Wearing only shoes that offer support

Treating Corns

Although most corns slowly disappear when the friction or pressure stops, this isn’t always the case. Consult with your podiatrist to determine the best treatment option for your case of corns.

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

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Are Bunions Affecting Your Everyday Life?

Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.

Is It a Sprained or Broken Ankle?

Telling whether an ankle injury is a sprain or a fracture can be problematic. A sprained ankle occurs when the ligaments that support the joint are stretched or torn, often from twisting or rolling the ankle. Sprains can range in severity, from mild overstretching to complete ligament tears. In contrast, a broken ankle involves a fracture of one or more bones, typically the tibia, fibula, or talus. A fracture may be simple with a clean break or complex with multiple fragments. While both injuries can cause swelling, bruising, and pain, a fracture often results in more severe pain and the inability to bear weight. Proper diagnosis may require an X-ray to distinguish between the two. Treatment varies significantly, so it is suggested that you promptly consult a podiatrist for an accurate diagnosis and appropriate treatment solutions. 

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with Jeffrey Radack, DPM from Texas Regional Foot & Ankle Clinics. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

  • Broken bones
  • Muscle strains
  • Injuries to the tendons and ligaments
  • Stress fractures

Symptoms

Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

  • Bruising
  • Inflammation/ Swelling
  • Pain

Diagnosis

To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.

Treatment

Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.

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

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Surgical Options for Treating Flat Feet

Foot surgery for flat feet may be recommended when conservative treatments do not relieve pain or restore function. One common procedure, termed medial displacement calcaneal osteotomy, involves shifting the heel bone inward to improve foot alignment and support the arch. Lateral column lengthening is another technique that adds bone to the outer side of the foot, helping to restore proper structure and reduce flattening. The flexor digitorum longus transfer uses a nearby tendon to support the arch by reinforcing the weakened or damaged posterior tibial tendon. Each of these surgical methods aims to correct deformity, improve stability, and reduce pain. Recovery typically involves rest, rehabilitation, and a gradual return to activity. A podiatrist can determine the best approach based on the severity and cause of flat feet. If you have flat feet and are experiencing chronic discomfort, it is suggested that you contact a podiatrist who can help you determine if surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Jeffrey Radack, DPM of Texas Regional Foot & Ankle Clinics. 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 McKinney and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot and Ankle Surgery

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