An estimated 20 million people in the United States suffer from some form of peripheral neuropathy, a condition that affects the normal activity of the nerves that connect the central nervous system — the brain and spinal cord — to the rest of the body.

Peripheral neuropathy can involve various different nerve types, including motor, sensory, and autonomic nerves. It can also be categorized by the size of the nerve fibers involved, large or small.

In the world of podiatry, most cases of peripheral neuropathy are found in the feet and develop from nerve damage caused by diabetes. Diabetic neuropathy can occur in both Type 1 and Type 2 diabetes. 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.

The condition can also manifest itself in the feet as a side effect from certain medications, neurological disorders, arthritis or as a result from a traumatic injury. As of today, more than 100 types of peripheral neuropathy have been identified, each with its own symptoms and prognosis, and are classified according to the type of damage to the nerves have sustained.

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A growing redness of the skin can often signal the beginning of a much more unpleasant condition – painful blisters.

Painful Blisters (SusanLesch / Wikimedia Commons)
Painful Blisters (SusanLesch / Wikimedia Commons)

Blisters are fluid-filled sacs that resemble fleshy bubbles on the surface of the skin. They most commonly appear on the feet as the result of friction from shoes that don’t fit properly. If the fluid sack is ruptured, blisters can become infected and begin to form pus, thus making the already lingering issue even more difficult to deal with.

There are many causes of blisters, including:

Irritation: One of the most common causes of blisters is skin irritation caused by friction or exposure to extreme cold (frostbite) or heat (sunburn). In some other cases, blisters are caused by irritation from contract with certain chemical and could eventually lead to dermatitis.

Allergies: Allergic contact dermatitis, a form of dermatitis or eczema, may result in blisters. Allergic contact dermatitis is caused by an allergy to a chemical or poison. The majority of these poisons are found commonly in nature in plants like poison ivy and poison oak.

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Are you looking for a foot doctor in Boynton Beach, Florida?

Well, you’re in luck!

At Boynton Beach Podiatry, Dr. Ian S. Goldbaum, a Board Certified ABMSP (American Board of Multiple Specialties in Podiatry) in Primary Podiatric Medicine, Podiatric Surgery, Wound Care, and Limb Salvage and Preservation, works around the clock to provide his patients with the best care possible.

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.

A proponent of advanced and modern techniques for treating patients with diabetes and other complications of the lower extremities, Dr. Goldbaum opened his office in Delray Beach Florida in 1984 in order to share his specialized knowledge in South Florida. In 2000, his success in the field allowed him to open a second office in Boyton Beach, making it easier for patients to receive treatment.

With a unique, all-inclusive protocol, Dr. Goldbaum’s works closely with his patients in order to allow them to be pro-active and in control of their lives by limiting or eliminating all of their podiatric-related issues.

As a Neuropathy Center, Dr. Goldbaum utilizes numerous state-of-the-art technologies in his office, such as Circulator Boot Therapy, 3-D Gait-Scan Analysis, Cold Laser Therapy, Fungal Laser Treatments, Radiofrequency Closure and Amniotic Stem Cell Therapy.

If you would like to schedule an appointment with Dr. Goldbaum, please see our contact/booking information below.

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It’s important to watch what you eat if you hope to keep your feet healthy over the holidays.

Often referred to as the “Disease of Kings” for its ties to famous monarchs such as Henry VIII, gout is an illness that can cause a royal amount of pain for those unfortunate enough to be afflicted.

Gout is a type of arthritis that occurs when needle-shaped urate crystals accumulate in joints, causing inflammation, redness, swelling and intense pain. These urate crystals can form when you have high levels of uric acid in your blood.

Uric acid is a substance that results from the breakdown of purines, which are part of all human tissue and are found in many common foods. Normally, uric acid dissolves in your blood and passes through your kidneys into your urine. When your body either produces too much uric acid or your kidneys excrete too little uric acid, however, the buildup of acid can form crystals.

The more purines you ingest, the more uric acid your body creates, increasing the risk of gout. These purine-rich foods can trigger a gout flare-up relatively quickly — often within two days of eating higher amounts of them, a study in the journal Annals of the Rheumatic Diseases found.

If you hope to safeguard yourself against a gout flare-up, then considering ingesting the following foods in the moderation:

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Drop foot, sometimes called foot drop, is a term that describes a disorder where a patient has a limited ability or inability to raise the foot at the ankle joint. This condition makes walking difficult as you may drag the front of your foot on the ground when you walk.

Although drop foot is considered a neuromuscular disorder that affects the nerves and muscles, it is not actually a disease, but rather a symptom of an underlying medical problem. This problem could be muscular, caused by nerve damage in the leg, or the result of a brain or spinal injury.

Drop foot usually only affects one foot (unilateral), but both feet (bilateral) may be affected depending on the cause.

Sometimes drop foot is temporary. In other cases, drop foot is permanent. If you have drop foot, you may need to wear a brace on your ankle and foot to hold your foot in a normal position. The goal of bracing is to provide patients with a more normal and comfortable gait.

What Causes Drop Foot?

Drop foot is caused by weakness or paralysis of the muscles that lift the front part of your foot. This can be the result of a number of underlying problems.

Causes of foot drop include:

– Nerve injuries

– Neurodegenerative disorders

– Muscle weakness

Here’s some more detail on these causes:

Nerve injury: The most common cause of drop foot is compression of a nerve in your leg that controls the muscles involved in lifting the foot. This nerve, known as the peroneal nerve, is a branch of the sciatic nerve that wraps from the back of the knee to the front of the shin.

The nerves in the leg can also be injured or damaged during hip replacement or knee replacement surgery. Injury to the nerve roots in the spine may also cause drop foot.

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