Young feet are springy, strong, and able to absorb shock. Their flexible joints, firm bones, and tendons help the body handle pressure. Aging changes these structures. Tendons lose some stretch, arches can flatten, and joints can become stiff. The padding under the heel and ball of the foot becomes thinner. As a result, standing or walking can feel less comfortable. Skin may become drier and easier to crack, while small injuries can take longer to heal. These changes can make feet less able to handle impact, pressure, and very hot or cold temperatures.

Age also affects muscle strength, circulation, and nail growth. Weaker foot and calf muscles can reduce balance and cause swelling around the feet or ankles. Bones can become thinner, which raises the risk of a fracture. Reduced blood flow can slow healing and make the feet feel cold. Toenails grow more slowly, become thicker, or turn brittle. Older adults are at increased risk of developing bunions, heel pain, and painful calluses. Arthritis, which is joint damage that causes pain and stiffness, can affect the ankle, big toe, or foot joints. These problems can change how a patient stands and walks, increasing strain in other areas.

A podiatrist can assess circulation, skin health, and the way the feet move. The podiatrist can care for thick toenails and calluses, provide padding or custom shoe inserts, and recommend footwear that provides proper support. Treatment can also reduce pressure on sore areas and address changes in foot shape. Regular visits are especially useful for patients with diabetes, poor circulation, or a history of foot wounds. Prompt care is important for swelling, numbness, or color changes. Sores that do not heal also need prompt care. If you have foot problems related to aging, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Joseph M. LaCava, DPM from Arkansas. Our doctor can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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.

A foot wound often needs more than a clean dressing. Each step can pressure damaged skin, slow healing, and deepen the wound. An off-loading device reduces that pressure by shifting weight away from the sore area. A podiatrist can recommend a healing shoe, sandal, or walking boot. A heel-suspension boot is also a choice. Prefabricated sandals and healing shoes differ in their design, materials, and purpose. They can provide better fit, support, and protection than standard choices. However, a ready-made device needs a molded footbed or custom insert to provide proper support and pressure relief.

A podiatrist selects and adjusts the device based on the wound and foot shape. The correct device must fit well and stay in the proper position. A custom insert can have a recessed area under the wound so the sore spot does not bear weight. A metatarsal bar can move pressure away from the front of the foot. A higher boot can give added support to a foot with major shape changes. For a heel wound, a specially cut boot can keep the injured area from touching a bed, chair, or footstool. 

Off-loading works best as one part of professional wound care. A podiatrist can examine the wound, remove unhealthy tissue, and apply an appropriate dressing. Follow-up visits allow the doctor to check healing and adjust the device as swelling or pressure points change. Patients should use the off-loading device exactly as directed, including when walking or resting. A poorly fitted device can rub the skin, shift pressure to a new area, or cause the wound to worsen. Prompt care is especially important if redness, drainage, or swelling develops. Odor can also signal a problem. If you have a foot wound that needs professional care, it is suggested that you consult a podiatrist who can discuss the benefits of off-loading devices 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 Joseph M. LaCava, DPM from Arkansas. 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 Hot Springs, AR . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A broken toe can cause enough pain to make walking and standing difficult. Breaks can happen after a hard stub, fall, or heavy object lands on the foot. Some fractures develop from repeated stress on the bone instead of one sudden injury. Pain and difficulty walking are key symptoms. A traumatic break can also cause throbbing, swelling, and bruising. Some patients hear a pop or crack when the injury occurs. However, being able to walk does not mean the toe is not broken.

Toe fractures range from small stress fractures to more serious breaks. A stress fracture is a tiny crack caused by repeated pressure on the bone. It can cause soreness after walking or running and tenderness when the area is touched. A displaced fracture occurs when the broken bone moves out of its normal position. The toe can look crooked, and severe injuries can break the skin. Broken toes and sprained toes can feel similar, so an accurate diagnosis matters. Most broken toes take about six to eight weeks to heal, although recovery varies by injury.

A podiatrist can examine an injured toe and determine whether symptoms point to a fracture. The evaluation can assess swelling, tenderness, and toe alignment. An X-ray can help confirm the break and show whether the bone has moved. Treatment depends on which toe is injured and how severe the fracture is. Options can include buddy taping, a rigid-sole shoe, or a walking boot. More serious fractures can require the bone to be repositioned or surgery to restore alignment. Proper treatment can lower the risk of lasting pain, reduced movement, or problems while walking. If you have broken your toe, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Joseph M. LaCava, DPM from Arkansas. Our doctor will treat your foot and ankle needs.

What Is a Broken Toe?

A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.

Symptoms of a Broken Toe

• Swelling
• Pain (with/without wearing shoes)
• Stiffness
• Nail Injury

Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.

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.

Flexible flatfoot is a common condition in school age children where the arch of the foot appears when sitting but flattens when standing or walking. This occurs because the ligaments and soft tissues in the foot are still developing and may not yet provide full structural support. While many children do not experience pain, some develop symptoms that affect daily movement and physical activity. Understanding flexible flatfoot helps parents recognize when additional support, such as insoles, may be beneficial for improving comfort and alignment.

Symptoms of flexible flatfoot in children can include foot fatigue, arch discomfort, heel pain, and uneven walking patterns. Some children may complain of tired legs after school or physical activity, while others may show signs of poor balance or inward rolling of the feet. These symptoms can become more noticeable during growth periods or increased activity levels. Identifying these signs early allows for supportive care that can reduce strain on the feet and lower limbs.

The causes of flexible flatfoot often relate to ligament laxity, muscle weakness, and natural development of the foot structure. Risk factors include family history, obesity, and prolonged standing or walking during the day. Without proper support, the foot may remain in a flattened position, leading to increased stress on joints and soft tissue. Insoles are designed to provide arch support, improve alignment, and distribute pressure more evenly across the foot. This can reduce discomfort, enhance stability, and support healthy foot development during important growth stages.

Using properly fitted insoles can help children maintain better posture and reduce strain during daily activities, such as walking, running, and standing at school. Wearing supportive footwear combined with insoles promotes comfort and encourages active movement without pain. Early intervention can prevent long-term complications and support overall foot health. If your child has flat feet, it is suggested that you consult a podiatrist who can discuss the benefits of orthotics with you.

Custom orthotics are specialized shoe inserts created to support and align the feet according to each person’s unique structure and walking pattern. They are an effective way to relieve foot discomfort caused by conditions such as flat feet, high arches, plantar fasciitis, bunions, and heel pain. When the natural alignment of the foot is off balance, it can lead to pressure points, strain, and pain that affect how a person stands, walks, and moves. Orthotics work by redistributing weight evenly and supporting the arch to reduce stress on the muscles, tendons, and joints of the feet and lower legs.

Foot discomfort can develop for many reasons, including wearing improper footwear, long hours of standing, repetitive motion, or underlying structural problems. Over time, this discomfort can extend beyond the feet, contributing to knee, hip, or lower back pain. Custom orthotics help correct these issues by improving alignment and promoting more efficient movement. They are made using precise measurements and imaging to ensure the best fit for each patient, providing targeted support and cushioning where it is needed most.

Unlike generic insoles, custom orthotics are durable, medically designed, and tailored to your specific needs. Whether you are managing chronic pain, recovering from an injury, or simply seeking better comfort and stability, orthotics can make a noticeable difference in how your feet feel throughout the day.

If you are experiencing persistent foot discomfort or fatigue, it may be time to have your feet evaluated by a podiatrist. Call our office today for more information or to schedule an appointment.

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