Diabetic foot problems can develop when diabetes affects circulation, nerve function, or the body’s ability to heal after an injury. Neuropathy may reduce sensation in the feet, making it harder to notice pressure, friction, or wounds. Symptoms include numbness, skin changes, or sores that heal slowly. Orthotics for the diabetic foot can help reduce pressure on vulnerable areas and improve weight distribution while walking. Proper foot support is especially important for people who have reduced sensation or a history of foot ulcers.

Several risk factors can increase the chance of developing diabetic foot complications. Poorly controlled blood sugar, peripheral neuropathy, and previous ulcers can make the feet more vulnerable to injury. Wearing tight or poorly fitting shoes can create repeated pressure that may damage the skin without causing noticeable discomfort. A podiatrist can identify these concerns through a foot examination, sensation testing, circulation assessment, and evaluation of walking patterns. Early care can help reduce the risk of serious wounds and support healthier daily mobility.

Custom orthotics may be designed to redistribute pressure away from areas at higher risk for irritation or skin breakdown. Shoe modifications are also important and may include extra-depth footwear, wider toe boxes, or customized cushioning. A podiatrist first examines the feet and identifies pressure points, deformities, or areas with reduced sensation. This foot doctor can then recommend appropriate orthotic support and footwear based on the patient’s needs. 

Diabetic foot care does not stop with orthotics or footwear. Daily foot checks, proper hygiene, appropriate socks, and prompt attention to changes can help protect the skin. People with diabetes should avoid walking barefoot because unnoticed injuries can become serious. Orthotics and shoe modifications are most effective when they are part of an individualized diabetic foot care plan. If you have diabetic foot concerns, it is suggested that you are under the care of a podiatrist who can determine what type of orthotics are right for you. 

Custom orthotics play an important role in preventing and treating foot and ankle injuries by providing personalized support that aligns with the unique structure of each foot. These specially designed devices help correct biomechanical imbalances, reduce pressure on sensitive areas, and improve stability during movement. When the feet are properly supported, the risk of developing conditions such as plantar fasciitis, Achilles tendinitis, and ankle sprains can be significantly reduced. Custom orthotics also help relieve discomfort caused by having flat feet, high arches, or uneven leg length, which may contribute to recurring injuries or pain.

Foot and ankle injuries can develop gradually from repetitive strain or occur suddenly during physical activity. Without proper treatment, these injuries can affect mobility and overall quality of life. Orthotics work to redistribute weight evenly across the foot, allowing joints and muscles to function more efficiently. This not only supports recovery from injury but can also prevent future problems by promoting better posture and alignment throughout the lower body.

Unlike over-the-counter inserts, custom orthotics are designed based on a detailed evaluation of each patient’s foot structure, gait, and medical needs. Podiatrists use advanced imaging and diagnostic tools to create orthotics that fit precisely and provide targeted correction. Whether used in everyday footwear or athletic shoes, custom orthotics can improve comfort, enhance performance, and support long-term foot health.

If you are experiencing foot or ankle pain or have sustained an injury that has not improved with rest, it is suggested that you schedule an appointment with a podiatrist. Call our office for more information or to make an appointment.

If you have any questions, please feel free to contact our office located in Hot Springs, AR . 

Peripheral artery disease, or PAD, is a circulatory condition that develops when arteries become narrowed by fatty deposits, reducing blood flow to the legs and feet. Because healthy circulation delivers oxygen to muscles and skin, reduced blood supply can affect walking comfort and wound healing. One common symptom is pain while walking that improves with rest, a pattern known as claudication. Some people also experience leg cramps or numbness in their feet. Recognizing these warning signs early is important because PAD can increase the risk of serious circulation problems.

Atherosclerosis, which causes plaque to build up inside arteries, is the most common cause of PAD. Smoking damages blood vessels and greatly increases the risk of developing this condition. Other risk factors include diabetes, high blood pressure, and high cholesterol. Age and family history can also contribute. People with diabetes may face additional concerns because nerve damage can make foot injuries harder to notice. When circulation is reduced, even a small blister or cut may heal slowly and become vulnerable to infection.

Changes in foot appearance can provide further clues that circulation needs attention. The skin may look pale, bluish, or unusually shiny, while toenails may grow more slowly. Feet may feel colder than usual, and numbness or weakness can develop. In advanced cases, pain may occur even while resting, or sores may fail to heal. Sudden severe foot pain with coldness, discoloration, or loss of sensation requires emergency medical care because it may signal an acute blockage.

A podiatrist examines your feet, checks pulses, and evaluates wounds. An ankle-brachial index or vascular imaging may help identify reduced blood flow. Treatment options include smoking cessation, prescribed medication, and recommendations for protective footwear. If you have symptoms of PAD, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

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 Joseph M. LaCava, DPM from Arkansas. 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 our office located in Hot Springs, AR . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ankle pain may develop when nerves surrounding the foot and ankle become irritated, compressed, or damaged. These nerves travel from the brain through the legs and into the feet, helping control movement and provide sensation. When a nerve experiences pressure or injury, it may interfere with normal foot function and cause ongoing discomfort. One possible cause of ankle pain is tarsal tunnel syndrome, which occurs when a nerve becomes compressed within a narrow passage along the inside of the ankle. This nerve, known as the posterior tibial nerve, provides feeling to areas of the foot. Pressure on this nerve may lead to persistent pain and changes in sensation.

Symptoms of nerve-related ankle pain vary depending on the location and severity of the irritation. Common signs include burning discomfort, tingling, and numbness around the ankle or foot. Some individuals experience sharp or shooting pain that extends into the toes. Others notice reduced sensation, making it difficult to feel certain types of contact or temperature changes. Nerve damage may also affect the muscles responsible for moving the foot and toes. These symptoms sometimes develop gradually and become more noticeable as nerve irritation continues. Persistent ankle discomfort may interfere with walking, standing, and other daily activities. Identifying the source of the pain is important because different nerves affect different areas of the foot.

A podiatrist evaluates ankle pain by examining the affected area and identifying possible signs of nerve compression. The examination focuses on the location of discomfort, changes in sensation, and movement difficulties. Understanding which nerve is affected helps guide appropriate treatment decisions. Podiatric care focuses on addressing the source of nerve irritation and improving foot and ankle function. Early evaluation is especially important when symptoms persist or sensation begins to change. If you are experiencing ongoing ankle pain, tingling, or numbness, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Joseph M. LaCava, DPM from Arkansas. 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 Hot Springs, AR . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Falling from a ladder during the workday can cause foot injuries, especially when the feet absorb the force of a landing. Injuries include sprains, fractures, and tendon damage. Pain may begin immediately or develop later as swelling increases. Difficulty standing, walking, or putting weight on the foot can signal an injury. Risk factors include rushing, working on uneven surfaces, and using a ladder that is too short. Older adults and people with balance concerns may face greater risk.

Before climbing, decide whether a ladder is needed. If another method is available, use it instead. When a ladder is necessary, choose one that reaches the needed height without requiring you to stand on the top steps. Make sure the ladder is designed for your weight. Place it on a firm, level surface. Never use a damaged ladder or one with loose parts. Inspect the steps, feet, and locks before every use.

The right shoes can help prevent ladder falls. Wear shoes with soles that provide good traction. Keep both hands available when climbing, and face the ladder. Do not overreach or carry objects that can affect your balance. If you fall, stop and assess your feet before walking. Significant pain, swelling, or difficulty bearing weight requires medical attention.

A podiatrist can evaluate a foot injury after a ladder fall and check for fractures or joint damage. X-rays or other imaging may be recommended when needed. Treatment may include rest, elevation, or other protection while the foot heals. A podiatrist can guide your return to activity based on your injury. If you have foot injuries from falling off a ladder at work, it is suggested that you consult a podiatrist for effective relief and treatment solutions.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Joseph M. LaCava, DPM from Arkansas. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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