For diabetics suffering from neuropathy, proper foot care is necessary to live a happy and healthy life.

Diabetic neuropathy is a type of nerve damage that can occur if you have diabetes. High blood sugar can injure nerve fibers throughout your body, but diabetic neuropathy most often damages nerves in your legs and feet.

If you are diabetic, you need to know how to take care of your feet!
If you are diabetic, you need to know how to take care of your feet!

This condition can manifest in both Type 1 and Type 2 diabetics. In Type 1 diabetes, the body does not produce the insulin necessary to convert glucose into the energy that the body needs. Type 2 diabetes, which is far more common, occurs when the body is unable to use insulin properly.

It has been estimated that between 60 to 70 percent of diabetics will deal with some form of neuropathy in their lifetime, compared to only a 25 to 30 percent chance for non-diabetics.

For diabetics already living with neuropathy, or those who may deal with it in the future, Dr. Ian S. Goldbaum of Delray Beach Podiatry has come up with several helpful tips to help keep your feet healthy:

Check your feet regularly: Regular foot checks are an increasingly essential part of diabetes management as nerve damage and reduced circulation caused by diabetes can lead to reduced awareness of pain and slower healing of the foot. Foot problems are one of the most common complications associated with diabetes and it’s important to check your feet daily for signs of damage in order to avoid future problems. In severe cases, poor foot care may lead to amputation of a foot or leg. In fact, even something as minimal as a blister or a sore could lead to an infection or a non-healing wound.

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Dr. Ian S. Goldbaum, a podiatric physician and surgeon with over 30 years of experience, is proud to announce the opening of his third practice in the South Florida region.

Dr. Goldbaum now has three offices serving the South Florida community.
Dr. Goldbaum now has three offices serving the South Florida community.

This new practice, located at 2900 N. Military Trail, Suite 290 in Boca Raton joins Dr. Goldbaum’s already established offices in Delray Beach and Boynton Beach.

With this new location, Dr. Goldbaum hopes to reach more patients in need of podiatric help in the area, while also making life easier on patients living in or around Boca Raton that previously had to drive long distances to seek out his care at either his Delray Beach or Boynton Beach office.

Dr. Goldbaum’s new office will feature the same hands-on, state-of-the-art treatment that many of you have already become accustomed to, such as Robotic Laser Therapy, 3-D Gait-Scan Analysis, Amniotic Stem Cell Therapy, and many other effective regenerative treatments.

If you would like to schedule an appointment at our new office, please see the contact information below.

We look forward to seeing you!

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A bunion is a bony bump that forms on the joint at the base of your big toe. This condition occurs when your big toe pushes against your next toe, forcing the joint of your big toe to get bigger and stick out.

When should you see a podiatrist for your bunion pain? (Image: Wikimedia Commons)
When should you see a podiatrist for your bunion pain? (Image: Wikimedia Commons)

The underlying cause of bunions is a deformity of the joint at the base of the big toe known as the hallux valgus. In this deformity, the joint develops a prominent sideways angle, which pushes the bones of the big towards the smaller toes.

Smaller bunions, known as bunionettes, can also develop on the joint of your little toes.

As a bunion develops, swelling, redness and pain is typically felt at the base of the big toe and in the ball of the foot. Eventually, the area becomes shiny and warm to the touch.

All bunions are permanent unless surgically corrected, but there are some measures you can take to be more comfortable or to slow a bunion’s progression.

What causes bunions?

For most people, bunions are a hereditary condition that typically develops in early adulthood and get worse as the foot spreads with aging.

In some cases, bunions have been associated with certain types of arthritis, particularly inflammatory types, such as rheumatoid arthritis. An occupation that puts extra stress on your feet or one that requires you to wear pointed shoes also can be a cause.

In people with leg length discrepancies, bunions usually form in the longer leg.

Tight-fitting shoes can also play a part in the creation of bunions. Shoes that have a sloping foot bed and a narrow toe box such as high heels cause the front of the foot to be pushed with force into the narrow toe box, causing the toes to become squeezed together.

For this reason, women are especially prone to developing bunions due to years of wearing tight, poorly fitting shoes.

Although they don’t always cause problems, possible complications of bunions include:

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Circulator Boot Therapy is a revolutionary treatment option for both diabetics and non-diabetics that can prevent amputations of the lower extremities, even in advanced cases where surgery has already been scheduled.

Circulator Boot Therapy in action at Delray Beach Podiatry.
Circulator Boot Therapy in action at Delray Beach Podiatry.

As well as providing an immediate boost to arterial and venous circulation, the procedure can also slowly break down clots. It increases the breakdown of plaque within the arteries by the release of nitric oxide oxygen and nourishment increase. You will see swelling and pain subside with the first few sessions. As circulation is restored with each further session, the body can begin to heal itself.

At Delray Beach Podiatry, Dr. Ian S. Goldbaum, a podiatric physician and surgeon with over 30 years of experience, has used Circulator Boot Therapy to save a staggering 38 limbs from being amputated.

“It saves people’s lives,” said Dr. Goldbaum, who is the only doctor in South Florida with access to a Circular Boot. “When you have an amputation, within five years there is usually another event that transpires and people can pass away because of it.”

Circulation Boot Therapy is an excellent method for treating and correcting circulation problems such as diabetic ulcers and venous insufficiency.

“This is one of the few things we have that’s external and it does a terrific job,” said Dr. Goldbaum. “This actually saves people’s limbs from being taken off.”

Many amputations begin with a small injury to the foot, leg or toe, especially in the case of diabetics. Proper treatment, such as Circulator Boot Therapy, can prevent what may ultimately lead to infections and gangrene and end with an amputation and often a myriad of life long medical complications.

“Every time I have used Circulator Boot Therapy, it has increased blood flow,” said Dr. Goldbaum. “It’s all about blood flow. If you have good blood flow, then you have oxygen and nutrients that the body needs to heal.”

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In a recent interview with DiabeticCouncil.com, Dr. Ian S. Goldbaum, a podiatric physician and surgeon with over 30 years of experience, was presented with two questions regarding foot care for newly diagnosed diabetics.

The full article, which features responses from 47 podiatrists around the United States, can be found here, but if you are looking for just Dr. Goldbaum’s responses, they can be be found below.

Dr. Ian S. Goldbaum (pictured) has been practicing medicine for over 30 years, arriving to South Florida in 1985.
Dr. Ian S. Goldbaum (pictured) has been practicing medicine for over 30 years, arriving to South Florida in 1985.

Q: What tips would you give to someone who is newly diagnosed?

A: The first thing a patient needs to do is realize that everything is going to change in terms of how they take care of their feet. What used to be labeled as a harmless cut or blister now can become something far worse if left untreated. The first thing a newly diagnosed diabetic needs to learn is to work a foot check — the bottom, the top and even in between toes — into their daily routine. A podiatrist should also be called upon to keep tabs on the health of their feet, especially if there are any signs of infection or abnormalities. Given how diabetes negatively affects circulation, even a small scape on the bottom of the foot has the potential to turn into a serious ulcer, as your body’s ability to get a proper amount of blood flow heading to your lower extremities becomes more and more limited. For this reason, increased attention to the state of your feet is one of the key changes all diabetics need to make in order to remain healthy.

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